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Atherton Tableland
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J Camp
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
*
8
9
10
11 or 12
2025 Camp Date
*
7, 8 November 2025
Activities
*
Yes, I am aware of the types of activities my child will be participating in.
Camp Schedule
Camp Activities
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.
Camp Terms and Conditions
Media Release
Camp Rules
Submit
After the submission, you will receive a confirmation email and an invoice from us to complete your booking.
Home
Atherton Tableland
About Us
Contact
J Camp