NAC Camporee 2025- Registration
Attendee Information
First Name
Last Name
Gender
– Select –
Male
Female
Address
Address Line 1
Address Line 2
Suburb
State/Territory
Postcode
Postal Address (if different to above address)
Email
Contact Number
Age at Camporee
What Pathfinder Club are you a member of:
Please select your position:
Pathfinder
Master Guide
Deputy Director
Director
Counsellor
Junior Counsellor
Cook
Other
If ‘Other’ selected, please specify:
Emergency Contact
First Name
Last Name
Relationship to attendee
Emergency Contact Number:
Emergency Contact Email
Medical Information
Attendee Date of Birth (please also include year of birth):
Swimming Ability (please select)
– Select –
Can’t Swim
Fair Swimmer
Good Swimmer
Excellent Swimmer
Medicare Card (Number)
Medicare (Position Number)
Medicare (Expiry):
Year of your last Tetanus Injection:
Are your immunisations up-to-date?
– Select –
Yes
No
Unsure
Please provide details as necessary. If not applicable to you, please write N/A.
Do you have any Dietary Requirements:
Do you have any Allergies & what is your reaction:
Do you have any Medical Conditions:
Do you take any Medication/s:
Photo Consent
I give consent to photographs and video being taken of my child at the NAC Pathfinder Camporee 2025 for the purpose of advertising and promotion in various media within the Northern Australian Conference. Children pictured will NOT be named when using these photos:
– Select –
Yes
No
Camp Shirt
Please select shirt size:
Kids 12
Kids 14
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Camp Registration Fee
Please select ONE only:
QLD- Pathfinder
NT- Pathfinder
QLD- Club Director, Counsellor & Staff
NT- Club Director, Counsellor & Staff
No payment items has been selected yet
Pay with Card (Stripe)
First Name
Last Name
Submit Form
