Camp Application Form 2020
The Heathgrove 2020 camp will be held at Stringybark Lodge Camp (https://www.hallsoutdoored.com.au/stringy-bark-lodge) from Tuesday January 14 to Friday January 17. Girls in years 5, 6, 7 and 8 are able to apply (2020 school year). The theme of the camp is "Detectives". An information session about the camp will be held later in 2019.

The Heathgrove Camp will be "Technology free". We would prefer for all campers not to bring any form of technology (mobiles, iPod, iPad, etc) to the camp. Parents will be able to contact their daughters for emergencies through Carmen Pavia on 0405 385 644 or calling the camp site on (03) 5968 1739. The Heathgrove camp management team will provide updates to parents via WhatsApp.
Email address *
Daughter Name and Surname *
Your answer
Home Address
Your answer
Daughter's Mobile No. (if applicable)
Your answer
Date of birth *
MM
/
DD
/
YYYY
Current age (as of January 2020)
Your answer
School Name (for 2020)
Your answer
School Year (2020)
Your answer
Religion/ Belief
Your answer
Does your daughter suffer from any allergies? *
If yes, please specify allergy and treatment
Your answer
Does your daughter suffer from any medical conditions?
Please provide details of condition and treatment below
Your answer
Please provide details of any dietary requirements
Your answer
Please provide Medicare Number and Private Insurance details (if available) *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Heathgrove Study Centre. Report Abuse