Adventure Minds Early Pre-Enrolment Form

Lock in your child's place for Adventure Minds Term 2, 2026 🏕️

To secure your spot before the holiday period, we are taking a $50 down payment deposit.

This is not an extra fee — it is simply the first $50 of your Term 2 fees.

Your deposit guarantees your child’s place in their chosen program, even as spots continue to fill quickly.

Locking in early helps:

- You: secure a spot in busy groups before the beginning of term rush.

- Us: organise facilitators, locations, and final group numbers for a smooth start to the new term.

Once you complete this form and submit the $50 deposit, your child’s place is locked in.

Family Information

Parent/Guardian - First Name

Parent/Guardian - Last Name

Parent/Guardian - Email

Parent/Guardian - Phone

Child Information

Child - First Name

Child - Last Name

Child's D.O.B

Child's Gender

Male

Female

Is this child an NDIS participant/using NDIS funds to participate?

Yes - we still require a $50 deposit now to secure your spot

Are you a returning family?

Yes

No - we're new

Acknowledgment of Ability to Participate:

I confirm that my child can safely participate in outdoor adventure activities such as hiking, running, climbing, supervised water play, and team-based games

Can your child confidently swim 50m on their own?

Does your child have any medical conditions we should be aware of?

Does any medication need to be administered during program hours?

Are there any activity restrictions or precautions we should take due to your child's medication condition/s?

Is there any other physical, emotional, social, or important past experiences that we should know about?

I permit Adventure Minds to take commercial pictures and videos of my enrolled child participating in program activities

Payment

Payment securely handled by Stripe

Spot Lock-In Deposit

How did you find out about the Program?

Wild Ones

Mini Connections

NBN Psychotherapy

SMS Movement

Word of mouth

Paid Advertising

Facebook

Instagram

Google search

Staff/team member

Other

Would you like to book for another child/sibling? (must be a child in your care)

Yes