Camp Application

Application/Registration Form

* Indicates required field

Child's Name *

First

Last

Date of Birth *

Gender *

Male Female

Phone Number *

Email *

Residential Address *

Japanese *

Yes, I am currently studying/learning Japanese

Name of School *

Year Level *

2025 Camp Date *

Activities *

Yes, I am aware of the types of activities my child will be participating in.

Medical allergies (if any, please state) *

Food allergies (if any, please state) *

Special dietary requirements (If any, please state) *

Medicare card number *

General Practitioner's Name and Phone number *

Parent/Guardian's Name *

First

Last

Date agreed (DD-MM-YY) *

Agreement *

Yes, I understand by submitting this form I agree to all terms and conditions, Media Release, and Camp Rules.

Submit

After the submission, you will receive a confirmation email and an invoice from us to complete your booking.