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Day Trippers Rego Form

 

DAY  TRIPPER  REGISTRATION  FORM
This offline form assists customers in deciding what activities they wish to do whilst at Flame Lily Adventures. Please visit the Main Office on arrival to confirm prices, list the names of all persons entering, nominate activities and confirm amount payable. A new form will be provided once agreed.  Payment can be made by EFPTOS or CASH ONLY. No cheques will be accepted unless approved by management.

Opening Hours 8am to 4pm Tuesday -Sunday.   All customers enter these premises and use the facilities at their own risk. Rates include 10% GST.

Please read and SIGN a  form at the MAIN OFFICE in agreement with the indemnity clause. One person shall sign the form on behalf of all the names listed.

EVERY FOURTH ENTRANT COMES IN FOR FREE 

Visitors opting for Tower Descents gain FREE ENTRY.

Vehicle Rego...................................................................................................Driver`s Name.......................................................................................................................................


Names of Other Guests                       1.....................................................................................      2..........................................................................................................................

                                            
                                                                   3....................................................................................      4.........................................................................................................................
 

If a large group please bring a list of names of entrants.  
Please supply an email address for photos taken on the tower to be emailed to you.
Dogs`on Leash permitted.

DAY TRIPPER RATES LIST -PEAK (EASTER & XMAS/NEW YEAR PERIODS ONLY)

DESCRIPTION  OFCHARGE                 No. of Persons
PEAK RATE
 $
SUBTOTAL        20%
DISCOUNTED
RATE
$
 
  TOTAL               
ENTRY ADULT   10.00   8.00  
ENTRY Kids 4y/o Up  Students/Seniors   5.00   4.00  
FISHING PERMIT per person   5.00   4.00  
KAYAK HIRE PER HALF HOUR   5.00   4.00  
MT BIKE HIRE PER HALF HOUR   5.00   4.00  
BBQ SMALL PER DAY   15.00   12.00  
BBQ HIRE LARGE PER DAY   25.00   20.00  
           
COMMANDO ZONE- ENTRY FREE IF DOING 10M TOWER DESCENTS          
FLYING FOX per descent   25.00   20.00  
ABSEIL DESCENT per descent   25.00   20.00  
PARA DESCENT per descent   25.00   20.00  
DO 3 DESCENTS P/P AND GET ONE  FREE   75.00   50.00  
ASSAULT COURSE   10.00   8.00  
LASER SKIRMISH (6+ PERSONS) PREPAID   N/A    25.00  
LASER SKIRMISH (9+ PERSONS) PREPAID   N/A   22.50  
LASER SKIRMISH (20+ PERSONS) PREPAID   N/A   19.50  
LASER SKIRMISH (NO BOOKING)   N/A   33.00  
 TOTAL          

INDEMNITY CLAUSE
The Participant shall be liable for and indemnifies and shall keep indemnified, the PROVIDER, Being Signett Pty Ltd TTF Signett Unit Trust trading as Flame Lily Adventures, against any liabilities, loss, expense, damage, claims, suits, actions, demands or proceedings, whether arising under any statute or at common law, in respect of any personal injury (including illness) to or death of or damage to personal property of the participant/s or any peron or party whatsoever participating in any activity or service provided by the PROVIDER, whether or not such injury, death or damage is caused by an act or omission of the PROVIDER.  Participants include persons listed, their personal representatives, heirs, next of kin, executors, successors, legal representatives and assigns.


DATE..............................................................................................................                      AMOUNT PAID..........................................................................................CASH  /  EFPTOS


.......................................................................................................................                       FLAME LILY ADVENTURES STAMP 805 BURRUM HEADS ROAD, BURRUM RIVER Q 4659
                                                                                                                                              TEL 07 4129 0799  FAX 07 4129 0977     EMAIL:  admin@flamelilyadventures.com.au
SIGNED BY TEAM LEADER  AGREEING TO CLAUSE ABOVE