Name *

First Name

Last Name

Date of Birth

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

If driving, what type of vehicle will you be using?

2WD

4WD

AWD

Next of kin or person to be notified in an emergency: *

First Name

Last Name

Do you have any dietary restrictions? *

None

Vegan

Vegetarian

Gluten Free

Accomodation Preference *

There is limited dorm room accomodation available, please bring $50 cash to cover the cost as it is not included in the ticket price.

 I'd prefer a bed in the dorm rooms

 I'd prefer to camp

 Happy to camp but open to a bed if there is one available