Camp Adventures 2025 - Expression of Interest Form

Camp Adventures 2025 - Expression of Interest Form
Are you an existing Zero Gravity participant?*

YesNo
Participant's Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Phone Number*
Email*
example@example.com
RATIOS

Whilst every effort is made to accommodate your preferred ratio, this may not always work from a planning and allocation perspective. If we cannot accommodate your preferred ratio, we will touch base with you to discuss alternative options.

Please ensure when expressing your interest, that you have adequate NDIS funding to attend these camps. If you are not sure, you can contact your Support Coordinator, Plan Manager, or Local Area Coordinator (LAC).
Please select your preferred staff:participant ratio*

1:11:21:3
Please select which camps you would like to attend (you can select more than one)*

Warrnambool - Friday 9th May- Sunday 11th MayHalls Gap - Friday 27th June - Sunday 29th JuneSnow - Friday 25th July - Sunday 27th JulyAradale Ghost Tour - Saturday 16th August - Sunday 17th AugustStaughton Vale - Friday 5th September - Sunday 7th SeptemberPhillip Island - Friday 24th October - Sunday 26th OctoberEchuca & Moama - Friday 21st November - Sunday 23rd November
Name of the person filling out this form*

First NameLast Name
Your relationship to the participant*
Should be Empty: