Camp expression of interest form

Please fill out the information below. One of our therapists or administration team will contact you to provide more information or answer any questions.

 

Child's Name

Child's year at school

Child's age

Child's date of birth (dd/mm/yyyy)

Child's school


Name of parents or guardians

Home phone

Work phone

Mobile phone

Email address

Postal address

Suburb

Postcode


Which camp/club are you interested in?

What are your child's needs or your concerns?

Do you have any questions or comments?

Please answer the quiz below.