• Image-62
  • Summer Splash Excursion

    Registration Form
  • Event Details

  • Our Place is heading to Outback Splash on Wednesday, 21 January 2025!

    TRANSPORT from MIDLAND YOUTH HUB to OUTBACK SPLASH

    WHO: Young people aged 12-25
    WHERE: 
    Midland Youth Hub, 12 Padbury Terrace, Midland
    WHEN: Arrive by 9.15am to travel by bus to Outback Splash, Bullsbrook


    WHAT: Enjoy Outback Splash from 10am to 2pm
    RETURN: We will return back to the Midland Youth Hub by 2.40pm

     

    Please confirm in the form if you are travelling with us from Midland Youth Hub or meeting us at Outback Splash. If you are meeting us there, wait outside as we have pre-booked the tickets.


    Food and Drinks will be provided. Please bring bathers, towel, shoes, sunscreen, a hat and a water bottle. For any questions, please contact ourplace.perth@gmail.com

    If you can no longer make it to the event, please contact us so we can give your spot to someone else!

  • Participant Registration

  •  - -
  • Emergency Contact Details: Person 1

    Emergency contact needs to be contactable
  • Emergency Contact Details: Person 2 (Optional)

  • Terms and Conditions

  • Transport to & from the Event 

    Transport to Outback Splash, Bullsbrook will be provided by means of a private chartered bus provided by the City of Swan.

  • Exclusion from Liability

    I, the participant/parent/guardian, give permission for the staff of headspace Midland and the City of Swan to take me/my child/ren on the arranged private transport to event/activity as outlined in these Terms and Conditions.

    I, the participant/parent/guardian, in the event of any accident or illness suffered by myself/my child/ren, authorise the staff of headspace Midland and the City of Swan to obtain, on my behalf, such medical assistance as I/my child/ren may so require and I agree to reimburse the organisation for any expenses incurred as a result.

    I agree that the staff of headspace Midland and the City of Swan shall not be liable for any personal injury, illness or other eventuality suffered by myself/my child whilst involved in the event, or for any loss of or damage to my/my child's property during the event, howsoever caused (including but without limiting the foregoing due to or arising out of the negligence and/or breach of contract by the participating organisations, their employees or agents).

  • Consent

    Please note, if you are under 18 years of age, a legal guardian will need to provide consent for you to attend the excursion. If you are unable to find a legal guardian, please contact headspace Midland (Casey - 0429 892 170) or the City of Swan (Erin - 0427 597 093) to discuss your options.

  • Acknowledgement of Terms & Conditions

    By signing and submitting this Registration Form, you confirm that you have read and agree to the Terms and Conditions.

  • Clear
  • Should be Empty: