Passed Thru Fire
Please fill in the registration form below
Our dates for 2025
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26 - 29 June
2 - 5 October
Dad's Name
First Name
Last Name
Email
example@example.com
Mobile Number
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Address
Street Address
Street Address Line 2
City
State / Province
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Mom's Name
First Name
Last Name
Mobile Number
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Son's Name
First Name
Last Name
Son's Age
Dad’s or Son's Allergies or conditions
Medical Aid
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Additional Detail:Is there anything that you would like to share with us about your child that will help them, their Event Leaders or ourselves? (aspirations, behavioral problems or anything else)
Are You or your Son / dependent on any medication which we should be aware of?
May we, via email, keep you informed regarding additional HEARTLAND SA experiences and events in the future?
No
Yes
Cost for Dad and Son team, all inclusive for on-site duration. Snacks, luxury refreshments etc. not included.
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