Kids/Teen Camp Form - Falling Creek Ranch

Kids / Teen Camp Registration

Which camp do you want to come to:

About The Camper

Camper's First Name

Camper's Last Name

Camper's Gender

Camper's Age

Camper's Weight

Please Note, a base level of fitness is required by campers as we do walk around our hilly farm on a frequent basis.

Horse HireBringing my own horseUsing one of the Falling Creek Ranch horses

Level or experience of rider

If bringing your horse please note it must be fit, must be able to ride up and down hills on farm tracks, ride without an adult leading them and in uncontained areas.

I would like to be in the same room as (if applicable) :

Home Contact

Parent/Caregiver First Name

Parent/Caregiver Last Name

Parent/Caregiver Home Ph.

Parent/Caregiver Mobile Ph.

Email Address *

Street Address

Suburb

City

Postal Code

Any special needs/dietary requirements/allergies/medical issues/ behaviour issues, or anything else we need to be aware of:

Medication: PLEASE NOTE: if you require us to give your child any medication, please write out clearly what medication they need, what time they need it etc. and put in a sealed container and give to us when the child is dropped off to camp)

Payment Terms of Falling Creek Ranch (trading as Southern Sky Farms Limited)

A $100 non-refundable deposit is required to secure your place. Deposit to be paid at the same time as registration. Full payment required 5 days before camp begins.

Payment by (PLEASE put a reference of the camp date and campers name)Bank DepositInternet BankingThis camp is already paid forSouthern Sky Farms Ltd 03 1750 0491085 000

I am paying$100 Deposit onlyFull Camp Fees $385Bring cash on drop off, up to $20 for canteen (ice-blocks, lollies, chips etc.)

Please read the Terms and Conditions

Terms and Conditions