2024 YW camp registration form "*" indicates required fields Pre-Camp Registration Form Complete the below pre-camp registration form in order to finalise your camp enrolment. Tip: If you run out of time, use the Save & Continue Later button at the bottom of the form to continue later.Your DetailsAttending guardians name*Enter the name of the adult attending camp First Last What date is your camp?*Please select the date of the camp of which you purchased.Please select1-2 Jun 2024Attending Parent/Guardian Email Address*Please enter the attending parent or guardian's email address. Attending Parent/Guardian DietIf the attending guardian has any dietary requirements, please list them below.Attending Parent/Guardian MedicalIf the attending guardian has any medical conditions, please list them below.Physical Limitations*Do you have any conditions that would make it difficult to walk up to 3 kms across moderate terrain or take part in gentle morning exercise?Please selectYesNoWhat's your main reason for booking into this camp?*Child's DetailsChild's Full Name*Enter the full name of the child attending this camp. First Last Child's Date of Birth*Enter the attending child's date of birth.DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child's Gender*Please selectMaleFemaleOtherChild's DietPlease provide details of dietary requirements and food allergies.Child's Medical StatusPlease provide details of all Medical Conditions, including medication, dosages, and triggers we need to be aware of.Child lives with*Please select who the child is living with.Please selectBoth ParentsShared Between ParentsMother OnlyFather OnlyOtherAdditional information about the ChildIs there anything else that we may need to know about your child in regards behaviour, current challenges or needs?Emergency ContactEmergency Contact Full Name*This person will be contacted in case of an emergency (must be someone who is not attending the camp). First Last Emergency Contact Phone Number*Please enter the emergency contact's best contact number. Camping EquipmentWould you like to purchase a camping kit from us?*Our camping equipment kits cater for two people. Select an option below if you'd like to purchase one today.Please select an optionI'll supply my ownYes, I'd like to purchase one nowOur Camping Kits $100 - Full Camping Kit (1 x Tent, 2 x Stretchers, 2 x Pillows, 2 x Sleeping Bags $50 - Tent Only (1 x Tent) $25 - Pillows & Sleeping Bags Only (2 x Pillows, 2 x Sleeping Bags) $25 - Stretchers Only (2 x Stretchers) $0 - Supply own Other informationTraveling From*Please let us know the city from which you're traveling from. Opt-in to our newsletter?*Would you like to keep up-to-date on everything new? We'll send new and upcoming events straight to your inbox.Please select an optionYesNoTerms & ConditionsDo you accept the following Terms & Conditions?*Booking amendments: We understand that sometimes, things happen which may impact your ability to attend our programs. If you need to make changes more than 12 weeks before the program, we will charge a $50 administration fee. Between 6-12 weeks before the program commences, changes will be subject to a cancellation fee equivalent to 10% of the total program cost. As our programs sell out far in advance, we are unable to offer refunds or credit transfers for any reason within six weeks of the commencement of the program, unless we can rebook the space with another participant. For this reason, we strongly encourage you to take out domestic travel insurance which will cover you in the event you need to cancel or postpone the program for most reasons outside of your control. Policies can cost as little as $35-70 and cover airfares, accomodation and program costs. You should undertake your own research to find a policy that suits you however one we recommend looking at is Insure and Go. A Silver Level cover includes up to $10,000 for accomodation, airfares and program costs and has a $100 excess. If you call them and ask for Jesse and mention the referral loyalty discount from the Rites of Passage, you will also receive a 10% discount. You can see more by visiting https://www.insureandgo.com.au Photo release: The Rites of Passage Institute may, from time to time, capture images, video and audio on camps and use this for promotional purposes. You may opt out of being filmed or photographed either in person whilst on camp, or by emailing firstname.lastname@example.org. Responsibility: I declare that I am taking part in a workshop or training offered by The Rites of Passage Institute, of my own free will. I agree to follow the rules and instructions of the workshop or training, given by the facilitator, and I agree to take full responsibility for my actions during my attendance. Health and Safety: I hereby declare that I am not suffering from any psychological or physical illnesses that could put myself, other participants, or the facilitators in any danger, or harm’s way. The Rites of Passage Institute has a Health and Safety protocol including a COVID safety plan in line with government recommendations. I agree to follow the directions of the Rites of Passage Institute. Consent: I, being the participant and, where applicable, the parent/guardian of a child attending a camp, declare that I understand that the activities may involve running and jumping as well as being in the bush, thus exposing myself and my child (where applicable) to situations and physical activities that have an element of risk. I acknowledge that there will be every reasonable effort made to minimise exposure to known risks. However, all hazards and dangers associated with these activities cannot be foreseen or may be beyond the control of staff. I acknowledge that this camp will be held in a bush environment and while every effort is made to ensure the safety and well being of me and my child (where applicable), there is always a possibility of sickness or injuries occurring. There will be trained first aid staff on the camp but for any serious medical issues that may arise, there is an evacuation procedure which includes any affected participant being transferred to the nearest hospital. In the event of an ambulance being required or extra medical fees arising, they will be the responsibility of the participant. Confidentiality: To protect the privacy of all participants, I agree to maintain confidentiality about the process and information I come to know during this event. I will respect the identity and privacy of all individuals attending this workshop, or training. In the event of unforeseen circumstances, The Rites of Passage Institute reserves the right to change or cancel camps. AcceptedCoupon Code I have a coupon code Coupon Card DetailsCard Details Cardholder Name Total (including GST) CommentsThis field is for validation purposes and should be left unchanged. Save & Continue Later Comments are closed.