Kids in NP activity day registration form

Please complete before the commencement of the activity.

"*" indicates required fields

Which Activity Day will you be joining us for?*

Rock and Fossil Hunt - 6/4/24

Coastal Exploration - 10/4/24

Eco Scientists - 13/4/24

Select which activity days you would like to join us for.

Participant Name/s*

Guardian Name*

First Last

Guardian Email*

Emergency Contact*

First Last

Emergency contact number*

Please list any medical concerns (allergies/recent injuries)

Registration Details

Registration Options*

Non-member Registration & NPAQ Nature Journal: $10

Non-member Registration: $5

NPAQ Nature Journal: $7

Total

Name*

First Last

Email*

Credit Card

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

BSB: 124 001
Acc: No: 10018942
Ref: Name

or contact our office on 0482 962 550 and pay over the phone at least 72 hours before the activity.

Consent*

I am over 18yrs of age

I agree to take full responsibility for the participant at all times and hold no responsibility to NPAQ staff or volunteers

I give permission for photos taken of myself/participant to be used in promotional materials and social media posts

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