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info@wildlifepark.com.au
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The Park
What’s On
Conservation
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Home
The Park
What’s On
Conservation
Schools
Contact
Menu
Home
The Park
What’s On
Conservation
Schools
Contact
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Junior Keeper Details
First Name
*
Last Name
*
Age
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Address
*
Street Address
Suburb
State
Post Code
Date Booked Into Program
*
DD slash MM slash YYYY
Additional Details
Allergies (Please specify)
Medical Conditions (Please specify)
Medications
Special Requirements
Other Information
Consent
*
I am the legal Parent or Guardian of the above child, and I give my child permission to participate in the Junior Keeper Program. I understand that they will be interacting with animals and handling food.
Photo Consent
*
I am the legal Parent or Guardian of the above child, and I give permission for the Ballarat Wildlife Park to use photos taken during the Junior Keeper program in potential advertising material including social media. (Untick box of you do not wish photos of your child to be taken/used).
Comments
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