Gents & Boys Adventure Camp
Event Dates: 17-19th April 2026
Full Name (Male)
*
First Name
Last Name
Mobile number
*
E-mail
*
example@example.com
Emergency contact name
*
Emergency contact number
*
Emergency contact number
*
Do you have an active ambulance cover?
*
Yes (highly recommended)
No
How many individuals would like to join including yourself
*
Please Select
1
2
3
4
5
Please provide the Name and age of the individuals and kids that will join the camp .
Please provide the Name and age of the individuals and kids that will join the camp
NAME
AGE
Please provide the Name and age of the individuals and kids that will join the camp .
Please provide the Name and age of the individuals and kids that will join the camp
NAME
AGE
Please provide the Name and age of the individuals and kids that will join the camp .
Please provide the Name and age of the individuals and kids that will join the camp
NAME
AGE
Please provide the Name and age of the individuals and kids that will join the camp .
Please provide the Name and age of the individuals and kids that will join the camp
NAME
AGE
Please provide the Name and age of the individuals and kids that will join the camp.
Please provide the Name and age of the individuals and kids that will join the camp
NAME
AGE
Please provide the Name and age of the individuals and kids that will join the camp
*
Are you a fully paid member of KSIJ Melbourne
*
Yes
No
My Products
*
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( X )
KSIJM Members
For Members with valid KSIJM Membership. Please add kids to the count
$
139.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
AUD
NON KSIJM Members
For participants without a valid KSIJM Membership. Please add kids to the count.
$
179.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
AUD
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Signature
Submit
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