Camp Koala - Registration forms

Lions Clubs & Type 1 Foundation

Camp Koala T1D - April 11-15, 2026 Ages 15 to under 18 on April 15, 2026
Application for a Camp Koala Registration Form

April 11-15, 2026 at YMCA Discovery Camp, Anglesea
PLEASE NOTE: This camp is held in Anglesea, Victoria. For those who choose to travel by air (eg interstate), the cost of airfares are NOT included in the camp costs. Flights times will have to be approved by the Camp Koalal committee prior to booking.

Camp cost $100 (or appropriate donation)

You can find further details of the camp at: https://v2campkoala.wixsite.com/website
Parent / Carer Name*

First NameLast Name
Parent / Carer email*
example@example.com
Parent / Carer Mobile No.*
Please enter a valid phone number.
Child's Name*

First NameLast Name
Gender*
NOTE: This is only to assist us as sometimes names are confusing
Child's Date of birth*

DayMonthYear
Date
Address

Street Address

Street Address Line 2

Town / CityState

Post Code
Age your child was diagnosed as a Type 1 diabetic*
There is a limited number of positions at Camp Koala. Would you like to receive a Registration form by email?*

YesNo
As there are limited spaces at Camp Koala, the committee, if deemed necessary, reserves the right to select the participants.
Do you have any questions?
Are you signed-up Member of the Type 1 Foundation?

YesNo
Should be Empty:

Lions Clubs & Type 1 Foundation