Ranger Additional Information To complete your Ranger booking please fill in and submit this form.We’ll be in touch to confirm your upcoming ranger program. Additional Information Form Which Program have you booked for?(Required) Junior Ranger Adult Ranger What is the date you have booked for?(Required) DD slash MM slash YYYY Junior Participants Name and Age First Last Junior Participants AgeYour Name and details First Last Email Phone numberConsent(Required) I am the legal parent or guardian of the child named above. I give permission for my child to participate in the Junior Ranger Program, which includes interacting with animals and handling food. Participation Acknowledgment(Required) I acknowledge that I am participating in the Adult Ranger Program, which can involve close contact with native Australian animals and handling and preparing animal food. Emergency Contact Details(Required) First Relationship to participantEmergency Contact Phone Number(Required)Emergency Contact AddressAdditional DetailsPlease tick any relevant fields and specify below. Allergies Medical Conditions Medications Special Requirements Additional Information Detail descriptionPlease don't include active web links in your message.Media Consent(Required)Photos and videos may be taken during your Adult Ranger experience for promotional purposes, including social media, website, and marketing materials. Yes, I grant permission for Jirrahlinga to photograph/film me and use these images in promotional materials. No, I do not wish to be photographed or filmed. Media Consent(Required)Photos and videos may be taken during your child’s Junior Ranger experience for promotional purposes, including social media, website, and marketing materials. Yes, I grant permission for Jirrahlinga to photograph/film my child and use these images in promotional materials. No, I do not wish my child to be photographed or filmed. Please tick
