Somers Camp 2019 Camper Registration Form

Congratulations on your decision to register for Somers Camp 2019!
We're all so excited for camp this year and can't wait to share the experience with you.

The registration will take around 10 minutes to complete - unfortunately, there's no save feature so you'll need to complete the registration in one sitting.
This form needs to be filled out by a parent, or legal guardian, of the camper.

There are a few things you should gather before you begin to fill out this form;
Please have with you (if applicable);
- a list of any medications your child is taking(including dosages)
- Medicare card
- Medical/hospital fund information
- Ambulance member number

Should you have any questions about the camp or this registration form, please email us at and one of our team will be in touch with you shortly.

Please note: To complete your registration you will need to sign and return our terms and conditions agreement. If you don't have a copy, you can download one at, or email the above address and we'll send you a copy. You can attach it to this form or post it to us at the address included at the top of the terms and conditions document.

**any field with a red star is a required field.

SOMERS CAMP 2019 - Monday 1st July until Friday 5th July

SOMERS CAMP AFTERPARTY – Sunday 11th August (afternoon)

(if different to residential address)

Note: This should be the contact email address of the parent or guardian (not the camper)

please take a moment to confirm your email address

Will you be sending other Siblings on camp this year? If so please list their first and last names here.

please note: at least one contact number must be provided.

Please enter phone numbers with spaces, eg:
03 5974 ####
0418 586 ###

0418 586 ###

Each year our volunteer leaders work tirelessly to raise funds and gather donations to help keep the cost of Somers Camp to a minimum.
We're so excited to announce that over the past 12 months our team have done such a great job fund raising that we have been able to reduce the cost of camp by almost 10%.

If you are interested in making a small donation there is an option below to specify an amount. Every dollar counts so we appreciate anything you may be able to contribute.

if you would like to make a donation to Somers Camp please specify an amount here. Donations go towards helping children attend camp who would otherwise be unable to afford the fees.

If you select electronic transfer you will receive an email with the relevant details

If you are ordering a T-shirt for your child please make you fill in the size and color options.

Please note: No T-shirt orders can be accepted after 30th May

Asthma, Blackouts, Heart Condition, Migraines, Diabetes, Sleepwalking, Bedwetting, or Other

We want your child to enjoy camp so please share with us in confidence any information that will help the leaders. This information is seen by Camp Mum and Camp Nurse and is shared only with the relevant leaders.
eg. difficulties with learning, communication, social or behaviour?
recent family breakdown or bereavement? recent experience of bullying?

Should your child become unwell or suffer an injury do you agree to camp nurse or camp mum giving your child paracetamol?

Somers Camp is run by a dedicated team of volunteers. This year we are trying to streamline our systems for communication. We have implemented a new project management software that automatically collates application forms and contact details. This saves hours of work for our volunteers and enables us to process information much faster. We would love if you could support us with this new system by allowing us send all future communication (like acceptance letters) via your email address rather than via post. This will save time, money, and paper.

Please attach your signed indemnity form. If you don't have access to a scanner you can post it to us at the address at the top of the indemnity form.
If you dont have an indemnity form you can download one at

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