Wildcraft Registration Form
Registration for Wildcraft Wilderness Adventure Training School 
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Email *
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PARTICIPANT FIRST NAME *
PARTICIPANT SURNAME *
SEX: *
DATE OF BIRTH *
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PREFERRED DAY & TIME OF ATTENDANCE
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IS YOUR CHILD ALLERGIC TO/INTOLERANT OF ANYTHING? *
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IF ANSWER YES ABOVE, PLEASE SPECIFY:
DOES YOUR CHILD HAVE ANY MEDICAL/PHYSICAL CONDITIONS? (If Yes, please give details)
DOES YOUR CHILD HAVE A DIAGNOSED DISABILITY OR ADDITIONAL NEEDS? (If yes, we will send you a care profile form)
PARENTAL FIRST NAME & SURNAME *
PARENTAL EMAIL ADDRESS *
PARENTAL MOBILE NUMBER *
PARENTAL ADDRESS
FAMILY DOCTOR'S NAME *
FAMILY DOCTOR'S CONTACT NUMBER
FAMILY DOCTOR'S ADDRESS *
MEDICARE NUMBER (and the number of the child on the card) *
AMBULANCE SUBSCRIBER NUMBER
DO YOU GIVE PERMISSION FOR YOUR CHILD TO BE TRANSPORTED TO LOCAL PARKS VIA OUR OUTBOUND VEHICLES IF REQUIRED? *
DO YOU GIVE PERMISSION FOR THE STAFF TO APPLY SUNSCREEN TO YOUR CHILD? *
DO YOU GIVE PERMISSION FOR YOUR CHILD TO BE PHOTOGRAPHED AND HAVE THEIR IMAGE PUBLISHED ON PROJECT OUTBOUND WEBSITE AND SOCIAL MEDIA PAGES?
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I, being the parent/guardian of the aforementioned child, approve of the enrolment of my child and agree to abide by the conditions fo Project Outbound. I authorise you in the event of any accident or illness to obtain medical assistance and agree to meet any expense. I agree that Project Outbound and its staff shall be released from and shall not incur any responsibility or liability for any accident or injury to the participant or for any damage to or loss of property belonging to the applicant. I agree to notify Project Outbound immediately should any of the details provided above change. *
A copy of your responses will be emailed to the address you provided.
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