Glenelg Adventure Camp 2025

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Parent information

Parent 1 information - Main Contact

First Name *

Last Name *

Email address *

Contact phone *

Parent 2 information

First Name

Last Name

Email address

Contact phone

Which parent is/was a professional first responder? *

Parent 1

Parent 2

Both - If both, please just provide service information for the main contact parent.

Which service is/was the parent a member of? *

Victoria Police

Fire Rescue Victoria

Ambulance Victoria

Triple Zero Victoria

Other

if other:

Parent Service/Registered Number *

Is parent still serving?

Yes

Participant information

First Name *

Last Name *

Child Age (at time of camp)

Childs Gender *

Boy

Girl

Non-binary

Please provide a paragraph telling us how your child would benefit from attending this camp

Additional information that is relevant to your application

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Contact us

We are not a crisis response service.
If you are in crisis ring 000.