2023 M&M Kids Camp – Camper Registration

Please note: you will need to use a credit card for payment to complete this registration. If you are unable to do this, please contact [email protected]

 

Privacy

Protecting your privacy is important to us.

The information we seek allows us to manage risk, provide reasonable care and adminster your involvement in our program. We are careful to keep your information confidential, and provide it only to those agents acting on behalf of the organisation who need it to enable them to perform their agreed activities (eg the First-Aider-In-Charge).

You are welcome to contact our office on (08) 8357 1755 in relation to issues regarding your personal information and for a copy of our Privacy Policy.

We only ask for information that is necessary for the purposes outlined in this statement. In some circumstances, if you don't provide us with all requested information, you could miss the opportunity to be involved in our program.

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Event Fee(s)
Total for this participant
Billing Name and Address
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M&M Kids Camp - Camper Registration
 
 

Elective Selection


Medical Information

 
 
 
 
 
 
    
Please select all that apply to you.

Health and Insurance

 
Do you have ambulance cover?
 

Emergency Contacts


Permissions

 
 
I am aware, in signing this document regarding my child/ren's participation in this program, that certain elements of the program could be physically and emotionally demanding. Furthermore, I understand that certain inherent risks and dangers may exist in the activities in which my child/ren will be participating. I acknowledge that while the organisation and its leaders will make every reasonable effort to minimise exposure to know risks, all hazards and dangers associated with these activities cannot be foreseen or may be beyond the control of the organisation, its leaders and staff. In the event of any emergency where my nominated contact people are unavailable: 1. I authorise the leaders to obtain medical advice and/or assistance which they deem necessary. 2. I further authorise qualified practitioners to administer anesthetic if required. 3. I accept all operation, blood transfusion and/or anaesthetic risks involved in the event that such procedures are deemed necessary. 4. I accept the responsibility for payment and agree to pay medical, transport and any other related expenses. 5. I confirm that the information contained in this application is true and correct. 6. I agree to inform the leader of any changes to these details.
 

Refund Policy

ONLY credit/debit card payments will be accepted.  Refunds will be given up to 2 weeks before the event (incurring a $20 administration fee). No general refunds will be issued for any cancellation in the 2 weeks leading up to the event. If, due to circumstances beyond our control, we need to cancel the event, we will endeavour to return all funds possible.   If finances are a problem or you have any questions please call the office on (08) 8357 1755 or email [email protected]