"Nature'sCool Bus" - October Holidays sign up form 2022
The Nature'sCool October holiday programme is going to be a bit different to what we have offered in the past. 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 7+. This programme utilizes our 12 seater van (full passenger certs / licenses etc) with maximum groups of 11 kids on Tues / Thurs and 14 kids on Wednesdays.

We will be based at one of the many amazing public locations within 20 minutes drive of Mair Park in Whangarei. This allows us to tailor the day according to the weather and participant interests - think Abbey Caves Reserve (sorry we can't go caving), Dragonfly Springs wetland in Onerahi, Barge Park bush area, Tamaterau Bay etc.

Wednesday 5th October- we will be at Dragonfly Springs in Onerahi for a fire lighting day.
Wednesday 12th October - we will be taking the crew to Limestone Island. 

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. However, once you have done this, If you would like to amend your booking or book additional days during the Oct Holidays, please just email safeoutdoorsnz@gmail.com with the additional dates and I will simply transfer your information (no need to fill this form again).

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 & Emma
Sign in to Google to save your progress. Learn more
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)
Tues 4th Oct (Nature'sCool Bus) $60 (sorry full)
Wed 5th Oct (Dragonfly Springs wetland) $60 (3 spots left)
Thurs 6th Oct (Nature'sCool Bus) $60 (sorry full)
Week 1
What date(s) are you wanting to attend in Week 2? (you can tick more than one)
Tues 11th Oct (Nature'sCool Bus) $60 (3 spot left)
Wed 12th Oct (Limestone Island) $65 (sorry full))
Thurs 13th Oct (Nature'sCool Bus) $60 (3 spots left)
Week 2
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 7 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 "Agree" below, you as a guardian of the child or children (listed above), agree to the terms and conditions as outlined on the website https://safeoutdoors.co.nz/naturescool-holiday *
Required
Please write below a brief summary of what you are paying for e.g:     1x child / single day = $60 / $65        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. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy