Easter Holiday Adventure Camp

21 Apr 2017 - Booking forms can be found on http:// manjedal.scouts.org.au/ & returned to MAC by the 3rd of April at the latest. Manjedal Activities Centre. (08) 9525 1210 ... Home phone: .... o Seasonal clothing suitable for activities & weather, with at last one jumper for cooler nights o Closed in shoes (suitable for lots of ...
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Easter Holiday Adventure Camp Send your children on an Easter Holiday Adventure! They will be challenged, inspired and gain confidence through camp activities including: Flying Fox, Tunnels, Canoeing, Archery, Orienteering, Geocaching, Camp Cooking and much more! Location:

Manjedal Activities Centre 163 Manjedal road Karrakup WA

Duration:

9am Tuesday 18th — 4pm Friday 21st April 2017

Cost:

$595 inc. GST Our camps are fully facilitated with qualified & experienced staff all holding a current Police clearance, Working with children card, Senior first aid, and a Bronze medallion if they are running water-based activities. The program is split into 2 age groups of 8-11 and 12-15 to cater for the developmental needs of both groups, ensuring everyone is challenged, engaged and has a wonderful time. Participants will enjoy our Youth Centre Dormitory and have a camping experience all on the one camp, with tents provided. The price is all inclusive, covering activities, accommodation, meals and supervision at all times. Places are strictly limited. Booking forms can be found on http:// manjedal.scouts.org.au/ & returned to MAC by the 3rd of April at the latest. Manjedal Activities Centre (08) 9525 1210

0409 340 643

[email protected] [email protected]

Participant information: First Name: Surname: Male / Female: Address: Date of Birth:

____________________________________________________ ____________________________________________________ (Please circle) ____________________________________________________ ____________________________________________________ ______________ Age: ______ School year in 2017: _____

(If Applicable) Scout Group: ____________________________________________________ Membership number: ____________________________________________________

Parent/Guardian contact details:

Relationship: First name: Surname: Home phone: Work phone: Mobile phone: Email:

Contact 1:

Contact 2:

________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________

_______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________

Medical Information Medicare Number: _____________________________________________________ Private Fund & member number: ___________________________________________ Ambulance fund: _____________________________________________________

Allergies, Illnesses, or past medical history that may influence camp participation or medical treatment: _______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Special Dietary needs (e.g. vegetarian, no dairy, etc.): ____________________________________ ___________________________________________________________________________ Swimming competence level: ________________________________________________ Any educational, behavioural or other information (e.g. Bed wetting, sleep walking, etc.) which may be relevant to camp participation _________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________

Medication required while on camp: (All medication must be given to the camp leaders to be given to your child at the required times, even if they usually self-medicate at home. All medication must be clearly marked with the participant’s name – A day by day medication box is ideal.)

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