"Nature'sCool" - September Holidays sign up form 2023
The Nature'sCool September Holiday programme will be only two days this time around as we are off on holiday after that. We are currently on the search for a new "Bush Base" location due to a change of circumstances with our original site, so in the interim we are offering a "Nature'sCool Bus" (Mobile) version for ages 6+. * 5 yr olds may be accepted if with an older sibling or already familiar with Nature'sCool. This programme utilizes our 12 seater van (full passenger certs / licenses etc) with maximum groups of 10 (paying) participants. We require a minimum of 6 participants to run the day.

Locations and dates are shown below.
Transport will be available from Ngunguru and Mair Park (see options below)

Note - Please fill in this form even if you have booked with us in the past. 

ps:  All appropriate precautions relating to Covid-19 are taken deeming us a 'low risk' activity under the Worksafe framework.

Thanks so much for your support! Luke & Hilary Kirner
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Email *
Parent name *
Parents contact phone number *
Alternative Emergency contact number (different than above) *
How many children are you signing up? (Sorry but no discounts available for multiple children at this stage ) *
What is your child / children's full name(s)? And how old are they? *
What date(s) are you wanting to attend in Week 1? (you can tick more than one)
Mon 25th Sept (Barge Park - 1 spot left) ($60)
Tues 26th Sept (Barge Park - sorry full) ($60)
Week 1
Transport request / Drop off & Pick up: Please select the option which applies to you (please note these options are subject to availability):
Clear selection
Does your child have any medical conditions we should know about? - (please include for each child: symptoms, treatment and emergency response if necessary) *
Does your child have any behavioral or learning characteristics that we should know about? (please include a description for each child if necessary). *
Does your child(ren) have any food allergies we should know about? (please include a description for each child if necessary)
If your child is under 6 years of age then it is preferred that they are accompanied by a (full paying) older sibling or close friend who is 7 years or older- please detail below.
In the event of an incident / accident or emergency, do you give Safe Outdoors NZ staff permission to administer "over the counter" medication - including paracetamol, antihistamines or Ventolin (blue inhaler) to your child(ren)? *
Media Release: please let us know if you / your child(ren) are comfortable with photos / videos of your child(ren) being used on our social media site(s) and / or our website? *
Authorisation:  By ticking "Complete" below, you as a guardian of the child or children (listed above), have read and completed our Safety Agreement Form here: https://forms.gle/19dajcafKzji45M47
*This is required to complete your booking. Please choose 'other'  and / or email safeoutdoorsnz@gmail.com if you require assistance.
 *
Required
Please write below a brief summary of what you are paying for e.g:     1x child / single day = $60       or          (2 x children / single day ) = $120  etc *
Payment: To confirm your child(ren)'s place in the programme - please make a Direct bank transfer to ANZ account: "Safe Outdoors NZ Ltd" - 01-0877-0763805-00. Please put the code "NC"  followed by your child's last name in the reference. You should get a 'confirmation email' once submitting this form. Please email safeoutdoorsnz@gmail.com if you do not receive the confirmation. *
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