Adventure Kids' Camp 2026 Registration Form

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Camp Details

In partnership with Blue Mountain Adventure Centre, Adventure Specialties Trust, Blind Low Vision NZ is once again holding Kids Camps in 2026.

Please note there are 3 sections to this form.  Please ensure each section is completed, and return to the coordinator of this programme

Name of Event: Adventure Kid’s Camp 2026

Locations: Blue Mountain Adventure Centre (BMAC), 17 Pito Street,        Raurimu, Central Plateau, North Island.

    Lake Lyndon Lodge, Unnamed Road, Castle Hill,         Canterbury, South Island.

Age Range for Event: 8 – 16yrs


BMAC Camp

Start Date: Monday 28 September 2026 (please note that participants chosen to be leaders will need to arrive Friday evening 25 September 2026)

Finish Date: Friday 2nd October 2026.


Lake Lyndon Camp

Start Date: Monday 5 October 2026

Finish Date: Friday 9 October 2026



Cost (for either camp): $100pp (payment details/arrangements will be communicated when final participants have been selected)

 

Registration close off for camps is Friday 24 April 2026 and should be emailed to SportandLeisure@BlindLowVision.org.nz
Section 1: Contact Information
To be completed by parent/caregiver of child










Contact 1 - Emergency contact during the event









Contact 2 - Alternative contact









Health profile and medical consent

(This section is designed to assist with the care of all participants on Blind Low Vision NZ programmes)  

Section 2:  Medical details, Sight Information, Camp Specific Information 

To be completed by parent/caregiver of child







Eye Condition


Corrected Visual Acuity






Personal Care





Socialisation and Behaviour










Activity Participation 






Medical Information 
Seizures:


* Blue Mountain Adventure Centre, Adventure Specialties Trust or Blind Low Vision NZ may be in contact to discuss the development of a comprehensive seizure management plan to ensure the safety of your child.

Medication:







Injury/Illness:





Allergies: 



Other:
Please note: if we do have concerns in regard to your child’s medical condition, we may require you to obtain a medical certificate on acceptance into this programme.
 






Parental Consent

I, the undersigned, have disclosed all necessary information to ensure my child’s safety and I agree to my child’s participation in this programme.


I understand that places are limited and that due to the nature of some activities additional specific selection criteria may apply for health and safety reasons.


I understand that the support ratios on camp will be 1:3.


I understand that my child may not therefore be selected for participation on this occasion.


I agree that responsibility for safety is a 3-way partnership between participants, parents and staff running the event and that I will do my best to ensure that my child follows the instructions given by the Blue Mountain Adventure Centre, Adventure Specialties Trust or Blind Low Vision NZ leader(s).


Should my child need to be returned home from camp for any reason, I understand that I will be responsible for arranging their safe return home.

I give my consent for my child to travel in vehicles driven by Blue Mountain Adventure Centre, Adventure Specialties Trust or 

Blind Low Vision NZ staff, using approved seat belt restraints.

I give my consent for my child being involved in any publicity, including photographs.


The staff (BMAC and Blind Low Vision NZ) will exercise all due care but will be clear of all liability in the event of any injury, damage or loss my child may sustain to their person or property.


The staff will exercise their duty of care to protect children from unnecessary risk of harm. All possible care will be taken to ensure children’s wellbeing and safety. Staff will act without negligence.


Any injuries or illness will in the first instance be attended by a staff member who is a first aider. 


I authorize that should qualified medical attention be required this will be secured at my expense and I will be promptly notified.


I understand that Blue Mountain Adventure Centre,

Adventure Specialties Trust or Blind Low Vision NZ do not accept responsibility for loss or damage to personal property and that it is my responsibility to check my own insurance policy.

I have read the event information sheet, and I understand that there may be risks associated with involvement in Blue Mountain Adventure Centre, Adventure Specialties Trust events and that these risks cannot be completely eliminated. I understand that Blue Mountain Adventure Centre, Adventure Specialties Trust will identify any foreseeable risks or hazards and implement correct management procedures to eliminate, isolate or minimize those hazards.

I understand my child will be involved in the development of safety procedures where required.

I will do my best to ensure that my child follows these procedures.

I know that I am able to ask any questions about the activities my child will be involved in, to gain a better understanding of the risks involved. I recognize that participation in such activities is voluntary and not mandatory through a ‘challenge by choice’* procedure.

My child and I both understand that they may withdraw from an activity if they feel at risk. This must be done in consultation with the person in charge.

*Challenge by choice means the participant chooses their own level of challenge within a supportive peer environment

Parental Declaration

I agree that if prescribed medication needs to be administered, a designated adult will be assigned to do this.  


I will ensure that pill-form medication is in blister packs or assorted into a medication box. 


I will ensure that prescribed medication is clearly labelled, securely fastened and handed to the designated adult with instructions on its administration.  


I have also completed and submitted the Blue Mountain Adventure Centre, Adventure Specialties Trust Medical and Consent Form.

I will inform the Blind Low Vision NZ Lead as soon as possible of any changes in the medical or other circumstances between now and the commencement of the programme.


I understand that any injuries or illness will in the first instance be attended by a Blue Mountain Adventure Centre, Adventure Specialties Trust staff member trained in first aid.


I agree to my child receiving any emergency medical, dental, or surgical treatment as may be considered necessary by the medical authorities, that this will be secured at my expense and that I will be promptly notified.


If my child is involved in a serious disciplinary problem, including the use of illegal substances and/or alcohol, or actions that threaten the safety of others, s/he will be sent home at my expense.


Participant Declaration


I understand that this programme is an opportunity for me to learn, practise skills and gain attitudes and values in an environment outside the classroom. I realise that this requires me to take on genuine responsibility for my own learning and safety, and that of others.

I agree to do the following to make this happen:

  • Show courtesy and consideration to others
  • Follow the rules and instructions of activity leaders and assistants of the programme, including during travel
  • Take part in all activities within the challenge-by-choice * options
  • Look after myself and my personal belongings
  • Declare medical conditions that could affect participation in this programme
  • Accept the rules set by the Blue Mountain Adventure Centre, Adventure Specialties Trust or Blind Low Vision NZ staff, even if they are different from what is accepted at home

I understand that my parents/caregivers will be contacted, and I may be sent home at their expense if:

  • My actions are considered unacceptable by staff
  • My actions put me or others in any danger

*Challenge by choice means the participant chooses their own level of challenge within a supportive peer environment



To be completed by child or parent/caregiver of child






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