Your details

Please carefully read the below information about the DSR Kids Autumn Camp 2021.

It will take around 5-10 minutes to fill out this expression of interest form.

Privacy Policy: Disability Sport and Recreation (DSR) is committed to protecting the privacy of your personal information. The information on this form is collected for the primary purpose of providing for your medical and personal care needs for camp. Personal information may also be disclosed to the relevant authorities in the event of a medical emergency. If you wish to access your personal information or have further queries, please contact Ayden Shaw at DSR on (03) 9473 0133.

You can read our full policy at

Who: Children with disability aged between 7 - 17 years
When: Friday 7 - Sunday 9 May 2021
Where: YMCA Camp Manyung, Sunnyside Rd, Mount Eliza 3930
Cost: $250 + GST which includes:
  • All sport and recreational activities
  • Accommodation
  • Transport
  • All meals
  • Personal care and engagement support
  • Access to photos of your camp experience
Camp aims
  • Provide a camp experience that is inclusive across all activities.
  • Build the confidence of camp-goers by participating in challenging and exciting outdoors activities.
  • Opportunities to experience different sport and recreational activities to increase your participation when you are at home/school.
  • Opportunities to make new friends.
  • Increased independence.
Additional information

This is an expression of interest. Camp places are limited and there is no guarantee that you will be allocated a spot for the camp.

All expressions of interest are considered by our care support team to ascertain if we can meet your needs within our volunteer support ratios.

Applications are allocated based on a first come, first served basis thereafter.

Please give us as much detail as possible when filling out your form. The information you provide is important as it helps us to determine the camper's suitability and the volunteer skill mix required to meet your needs. Information on alternative opportunities will be provided should this camp not meet your needs.

A strong aim of the camp is to increase the independence of each participant. For this reason, parents and siblings do not attend this camp. All personal care and engagement support is provided by experienced nurses, allied health and support workers. If you wish to bring your own carer, please state this in your form.
DSR will hold both autumn and winter camps this year. When filling out this form you have the option of pre-registering your interest in also attending our winter camp that will be held 2-5 July 2021 at Falls Creek.

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* 1. Name

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* 2. Phone number

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* 3. Email

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* 4. How old are you?

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* 5. Please provide the following information for the camper's next of kin: