REGISTRATION FORM

Start Date April 28 – End Date May 2, 2025 or May 5, 2025 – May 9, 2025

Camp Option (required)April 2025 Bandipur Mudumalai Wildlife Camp – MDMMay 2025 Young Entrepreneurs Camp – YEP

Transport Option (required)YesNo

Participant’s name(required)

Upload Photo : PNG/ JPG – Max Size 1MB (required)

DOB

Sex (required)MaleFemale

Food (required)VegNon Veg

Emergency Phone/ Mobile No

Residential Address

School Name

Mother’s Name

Phone / Mobile

Email (required)

Profession / Company

Father’s Name

Phone / Mobile

Email (required)

Profession / Company

Previously attended camps

How you found us

Medical Information about the Child

Please provide all details correctly. We have to rely on the information provided by you in this form for any needs.

Blood Group

Last Date of Anti Tetanus Shot

Is there any medical condition or relevant information of which we need to be informed for the safety of your child in all activities (both indoor and outdoor)? YesNo

Does your child have any heart related / epilepsy related condition? YesNo

Is the child allergic to any insects, foods, substances or medicines? YesNo

Does your child suffer from asthma or any respiratory ailments? YesNo
Does your child have any bed wetting or sleep walking condition? YesNo
Did your child have any fracture or muscle or bone injury recently? YesNo
Does your kid have any ongoing treatment or medication to be continued at camp? YesNo

If you answered yes to any of the above questions, please give us full details or you may also mention about any other health problem your child may be suffering from. If you have any special / additional instructions for us or other details about your child that you want to let us know, please use a separate sheet of paper and attach it to this application form. The details you provide us will help us to serve your child better.

Please Provide Details:

Payment : CardE-WalletE-transfer

E-transfer to bank account

Bank Acc No: 088700050900227
Acc Name: Jungle Home
Bank Name: Tamilnad Mercantile Bank
Branch: Cantonment Branch, MG Road Bangalore
Acc Type: Current Account
IFSC Code: TMBL0000088

UPI : 8971659286

Google pay / phonepe / Paytm : 8971659286

If you have selected E-Wallet or E-transfer please provide The transaction ID below :
Transaction ID/ Details

Date

Amount

Bank

Cancellation Policy (Number of days before camp date/Amount of Refund)

Cancellation prior to two weeks before departure date Full Deposit less Rs. 1000

Cancellation less than two weeks and prior to seven working days before departure date 50% of the Deposit less bank charges

Cancellation less than seven working days prior to departure date No Refund

Consent Form for Parents
1. I want to enroll my child for the Frolic Boonies Nature Camp for Kids program. I have read the details of the camp given on website https://www.frolicboonies.com, and introductory letter,
2. I have sought information regarding the safety standards, practices and norms followed by Frolic Boonies Nature Camp for Kids program and I am satisfied with the same.
3. I understand and acknowledge the inherent risks associated with outdoor based adventure programs and the related logistics of travel and stay.
4. I am aware that participants need to abide by the rules and any misconduct like repeated indiscipline, breach of safety rules, or usage of any prohibited items like tobacco, alcohol, etc. will result in expulsion from the camp
5. My child is medically fit to participate in the Frolic Boonies Nature Camp for Kids program and I have provided all relevant medical information in this form.
6. I have read the rules for participation and safety, payment and cancellation terms and agree with the same.
7. I have read, understood, filled and signed the form below.
I shall not demand for any kind of claims from Frolic Boonies Nature Camp owners or its employees due to my child’s / ward’s participation in the program and related activities conducted therein.

Name of Parent / Guardian
Relationship
Name of Child
Age
Signature of Parent / Guardian : PNG/ JPG – Max Size 1MB (required)
Date :
Place :

I agree to receive periodical news letters and information about future camps / offers from Frolic Boonies.

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