Camp Application

Camp Application Form

Name of applicant/organisation

Name of contact person

Email

Phone number

Postal address

Purpose of camp

Number of MALE 4-11yo campers

Number of FEMALE 4-11yo campers

Number of MALE 12-18yo campers

Number of FEMALE 12-18yo campers

MALE camp leaders

FEMALE camp leaders

TOTAL number attending camp (incl. leaders and under 4s)

Please select all facilities requred for your camp

Dorm 1

Dorm 2

Dorm 3

Dorm 4

Dorm 5

Dorm 6

Dorm 7

Functional room

Kitchen

Additional accommodation (e.g. units for leaders)

If you require non-dorm accommodation for leaders, please give specific details below
(including relevant information e.g. leaders are couples or single males/females)

ARRIVAL date and time

DEPARTURE date and time

Please provide any additional information or special requests

How did you hear about Karribank

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Deposit
‍• Based on your estimated numbers for your camp, a deposit of 30% of your total hire fees applies to secure your booking. This deposit is non-refundable.
• No bookings can be guaranteed until your deposit is paid and your application form is received.
• We recommend that you inspect the facilities before making your booking to assist you in your planning.

‍Our Bank Account Details

‍Dante Mews Pty Ltd
BSB 066 000Account No. 1739 3049

‍DECLARATION OF APPLICANT/s

I/we have read the camp-site information sheets and agree to the conditions at Karribank.

I/we have sent proof of the required deposit to Karribank management (contact@karribank.com.au).

I/we agree to settle all accounts within 7 (seven) days of the conclusion of our booking.

Address

Karribank
1983 Porongurup Rd
Porongurup WA 6324

Contact

0408882200
contact@karribank.com.au

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