Camp Jabiru Camper Application 2025

Camper Application
Thank you for your interest in Camp Jabiru!

Please note: There are currently only openings in the kindergarten and daycamp groups for Camp Jabiru. If your child is in preschool or an older age group you may still submit an application and they will be placed on a waitlist.

Submitting an application does not guarantee your child a placement. Completing the first page of this application (i.e., hitting "Hold My Spot!" below) reserves your child's place in the application queue, which will determine the order in which applications are considered. This will allow you time to complete the rest of the application in a considered way, knowing that your spot is held.

You must hit "SUBMIT" at the end of the application for your child to be considered for camp. The entire application must be complete and submitted or you will lose the place you reserved by completing this first page.

To submit the entire application you will need to attach some required documentation. For a list of all documentation you will need, refer to our website: https://www.sensorygym.com.au/camper-application.html

You will not hear a response from our team about the status of your application until after the 15th of November.

Important Camp Dates

Camp Week: 13th - 17th April 2025

Goal Creation Call (Phone): January - February 2025

Post-Camp Goal Rating (Email): Early May 2025

Final Goal Rating (Email): Late July 2025

Please note: Camp goal calls are mandatory for your child's participation at Camp Jabiru.
Date*

DayMonthYear
Date
Hour Minutes
Contact Form
Child's Full Name*
Child's Date of Birth*

DayMonthYear
Date
Parent/Carer Full Name*
Best Contact Number*
Please enter a valid phone number.
Email*
Please provide the email address that you check most frequently as you will be receiving a lot of important information regarding camp through this email.
To save your place in the queue and continue completing the application, hit "Hold My Spot!" below. You must continue to complete the entire application at this time for your child to be considered for placement at camp. The application is not completed until you hit "SUBMIT."

Child's Health and Medical Information
Medicare Number*
Doctor's Name*
Doctor's Phone Number*
Please enter a valid phone number.
Year of Last Tetanus Injection*
Please enter a four-digit year.
Please list any diagnoses that your child has:*
Put "N/A" if there are none.
Please briefly list your child's medications here. If selected for camp we will ask you to complete a more detailed form with medication information.*
Put "N/A" if there are none.
Health Conditions*
Please include chronic conditions (physical and emotional/mental), injuries, asthma, and/or heart problems that may be relevant to your camp experience. Put "N/A" if there are none.
Activity Restrictions*
Please list anything that would restrict participation at camp (i.e., fear of heights, etc.). Put "N/A" if there are none.
Dietary and Allergen Information
Camp can accommodate the dietary needs listed below, with an additional $25 fee for gluten-free diets. If you have other dietary needs you may select "other," but you will need to supply your own food.

NOTE: Camp is nut free. You will not be able to bring any food products containing nuts, including non-dairy milks made from nut products.
Dietary Needs*

Gluten-Free (additional $25 charge)Casein-FreeVegetarianVeganHalalOther (I will bring what I need)None
Allergies *
Please list all allergies, including to foods, medications/drugs, insects, plants, etc. Please note if any of these allergies are anaphylactic. Put "N/A" if there are none.
Swimming Ability
Please rate swimming ability based on the following:

Unable - nothing more than a dog paddle

Poor - basic strokes, only limited strokes beyond domestic swimming pool

Good - strong swimmer, able to swim confidently in a variety of water conditions

Excellent - very strong and confident, could swim 50 meters fully clothed
Swimming Ability*
Emergency Contact Information
Full Name*
Relationship to Person Attending Camp*
Emergency Contact Phone Number*
Please enter a valid phone number.
YMCA Medical Consent

I understand that YMCA NSW and its instructors will take reasonable care for the welfare and safety of those attending the camp but are not responsible for any accident or sickness otherwise occurring. I acknowledge that going on camp may involve participation in activities of a hazardous nature, though YMCA NSW and its instructors will take reasonable care to minimise risk to participants.

I have detailed herein any disabilities or susceptibilities affecting me/my child, that may place me/my child at greater than normal risk. I authorise YMCA NSW and its instructors to obtain medical assistance and ambulance transportation in the event of illness or injury as they think necessary and authorise qualified medical practitioners to administer anaesthetic, blood transfusions, or any other procedures deemed necessary. I also agree to pay all the cost of any expenses incurred as a result of such medical assistance and ambulance transportation. I acknowledge that I am able to obtain private insurance cover in respect of any accidents or sickness at the camp. Should I/my child need to be returned home for any reason I will cover any associated costs.

I am/my child is attending camp on this understanding.
Signature*

Clear
Date of Signature*

DayMonthYear
Date

Payment Information
Camp fees are listed on our website - scroll down to the heading "Camp Fees and Funding" to see details.

Camp fees are due upon your child's acceptance into camp.

You may pay with your NDIS plan, with a credit card, or through direct deposit.

If paying by...
- NDIS Agency-Managed - this will be invoiced by The Sensory Gym® and claimed in full as soon as your child's application has been approved.
- NDIS Plan-Managed - an invoice will be sent to your plan manager as soon as your child's application has been approved.
- NDIS Self-Managed - an invoice will be sent to you for the full amount as soon as your child's application has been approved.
- Medicare - an invoice will be sent to you for the full amount as soon as your child's application has been approved. An EPC or Mental Health Care Plan will need to be set up prior to the start of camp in order for you to claim your rebates. Rebates may not be claimed until after camp has occurred.
- Credit Card - we will contact you to provide these details upon receipt of your application. Please note that a 1.155% surcharge will be applied to credit card payments.
- Direct Deposit - an invoice will be sent to you.
If you have special circumstances that apply to your payment please contact Ann at ann@sensorygym.com.au to discuss.
Select method of payment...*

NDIS Agency-ManagedNDIS Plan-ManagedNDIS Self-ManagedMedicarePrivate Pay
Plan Manager Name*
Plan Manager Email*
example@example.com
Plan Manager Phone Number*
Please enter a valid phone number.
Paid by...*

Credit CardDirect Deposit
Please upload your child's current NDIS plan. *

Cancelof
Clicking "SUBMIT" below completes your application!
Should be Empty:

Camper Application

Contact Form

Camp Jabiru Application 2025

Child's Health and Medical Information

Dietary and Allergen Information

Swimming Ability

Emergency Contact Information

Camp Jabiru Commitment Form

Consent for Photography and Audio-Visual Recording

Payment Information