Name

Phone Number

Email Address

Role RoleDirectorManagerTeacherAdminCoordinatorOther

Organisation Name

Type of Organisation Type of Organisation SchoolFamilyYouth GroupReligious GroupEducationalBusinessClubOther

Number Of Adults

Number of Children (Under 18)

Check In Date (after 3pm)

Check Out Date (before 10am)

Do you require early check in (before 3pm) and/or late check out (after 10am) Do you require early check in (before 3pm) and/or late check out (after 10am)No, check in after 3pm, and check out before 10am is fineYes, early check in (before 3pm) requiredYes, late check out (after 10am) requiredYes, both early check in (before 3pm) and late check out (after 10am) required

What time would you like to check in / check out?

What do you need from our facilities? What do you need from our facilities? Kitchen and utensils Equipped stage (Audio/Visual) Sports equipment (please specify in requirements) BBQ Others (please specify in other requirements)

Other Requirements

How did you hear about Camp Belgrave? How did you hear about Camp Belgrave? Google, Yahoo, Bing, Baidu etc. Australian Camps Association (ACA) Word of mouth

Who referred you to Camp Belgrave? (so we can thank them)