2026 January #316 Lions Club Application form

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School Holiday Adventures for 8 – 11-year-olds

Camp #316

Monday 5th January - Friday 9th January 2026

2024 New Club Application Form Procedure

We have updated our policies and procedures for our Lions Sponsored Camps (LSC).

We now require each club to fill in this online form. Once complete and submitted you will receive a copy and so will Licola.

Once the children have been verified/selected we will invoice your club for $750 per child inclusive of travel.

COST: $750 per child inclusive of travel

Name of school/s you would like the LSC Coordinator to send Children's Applications to:

School's Name(Required)

Position of School Contact (if known)

Contact Person (if known)

Contact Number(Required)

How many children would you like to sponsor?

School's Name(Required)

Position of School Contact (if known)

Contact Person (if known)

Contact Number(Required)

How many children would you like to sponsor?

School's Name(Required)

Position of School Contact (if known)

Contact Person (if known)

Contact Number(Required)

How many children would you like to sponsor?

School's Name(Required)

Position of School Contact (if known)

Contact Person (if known)

Contact Number(Required)

How many children would you like to sponsor?

Applications to be received by: MONDAY 3rd November 2025

**Late applications will not be guaranteed a place**

Lions Club Contact details:

Contact’s Phone Number(Required)

Contact’s Email(Required)

(forms will be sent to this address)

Club Treasurer's Email(Required)

NOTES

All Club Application forms will now be submitted online.

Once the children have been verified/selected we will invoice your club treasurer the amount of $750 per child inclusive of transport.

ALL ENQUIRIES TO:
Mobile: 0458 656 361
Ph: (03) 5148 8791
Email: lsccoordinator@licola.org.au