1. General Information
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Group Name *
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First Name *
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Surname *
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Alternative Contact
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Email *
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Postal Address *
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Suburb *
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State *
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Postcode *
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Telephone *
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Fax
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2. Proposed Dates
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From (dd/mm/yy) *
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To (dd/mm/yy) *
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Type of Group
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Purpose of Camp / Program
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Proposed Number Of Days *
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Proposed Number Of Nights *
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3. Estimated Numbers
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Number of Children
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Number of Adults
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Total Numbers *
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4. Catering
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Fully Catered
Self Catered
Combination |
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First Meal
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Last Meal
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5. Outdoor Activities Required
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Canoes
Giant Swing
Flying Fox
Raft Building
Archery
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6. Would you like a quote for transport? |
Yes
No |
7. Program Assistance
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Yes
No
Useful
Depend on activities
Depend on cost |
8. Wheelchair Access
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Yes
No |
9. Preferred Method of Contact
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Telephone
Fax
Email
Writing |
10. General Comments
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Please allow up to 3 days for us to process your request.
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