Part 1 of 2
Leader Registration
Basic Info Section
Which camps would you like to attend as a leader? *
First name: *
Last name: *
Birthday: *
Leader's Email Address: *
Gender: *
Street address: *
Region/State/Province: *
City: *
Postal/Zip Code: *
Preferred cabin age:
Under 18 Section
Parent/Caregiver's First Name: *
Parent/Caregiver's Last Name: *
Parent/Caregiver's Phone Number: *
Parent/Caregiver's Alternate Phone Number: *
Parent/Caregiver's Email Address: *
Emergency Contact Section
Emergency contact must be different to the parent/caregiver above.
Emergency Contact First Name: *
Emergency Contact Last Name: *
Emergency Contact Phone Number: *
Emergency Contact Alternate Phone Number: *
Emergency Contact Relationship: *
Medical Section
Doctor's Name: *
Doctor's Phone Number: *
Do you have any dietary requirements, allergies, chronic illnesses or medical conditions that may require treatment whilst at camp? If yes, please describe: *
Final Section
Do you have any other information that we may need to know to best support you as a leader at Camp Wharerama?
Once your registration has been confirmed, you will be sent an invoice for the amount payable.
Rates are as follows:
Kids Camp:
Leaders Under 18 - $150
Leaders Over 18 - $100
Kids Club attendance is free to all.
Please note that if you are registering a leader through a Government Organisation, there will be an additional $20 administration fee.
Please reach out to us if finances are a barrier to camp attendance, and we will endeavour to support you as best we can.
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