Name of school or organisation*Contact Name First Last Phone*Email* Address*Type of group*ECESchool GroupSchool Holiday ProgrammeWhich venues would you like to include in your visit?*Rocket Ropes onlyRocket Ropes & Butterfly CreekPreferred visit date* Monday - Friday onlyWhat time will you arrive at Rocket Ropes?*9:00am10:00am11:00am12:00pm1:00pm2:00pm3:00pmWhat time will you arrive at Butterfly Creek?*9:30am9:45am10:00am10:15am10:30am10:45am11:00am11:15am11:30amNumber of adults*Total number of adults spectating at Rocket Ropes & visiting Butterfly Creek.COMBO: Rocket Ropes & Butterfly CreekCOMBO: Rocket Ropes Rocketeer Course & Butterfly Creek (3-4 year olds) Price: $ 18.00 Quantity: Number of 3-4 year olds visiting both Butterfly Creek & climbing the Rocketeer course at Rocket Ropes on the same day.COMBO: Rocket Ropes Rocketeer Course & Butterfly Creek (5-6 year olds) Price: $ 18.00 Quantity: Number of 5-6 year olds visiting both Butterfly Creek & climbing the Rocketeer course at Rocket Ropes on the same day.COMBO: Butterfly Creek & Croc Tower Course Price: $ 28.00 Quantity: Number of 6-17 year olds visiting Butterfly Creek & climbing the Croc Tower at Rocket Ropes on the same day.Rocket Ropes onlyROCKET ROPES: Rocketeer Course (10-19 pax) Price: $ 10.50 Quantity: Number of 2-6 year olds climbing the Rocketeer course only. If your group has 20+ kids wanting to climb the Rocketeer course, choose the option below.ROCKET ROPES: Rocketeer Course (20+ pax) Price: $ 10.00 Quantity: Number of 2-6 year olds climbing the Rocketeer course only. Only use this option if you have 20 or more children that want to climb the Rocket Ropes Rocketeer Course.ROCKET ROPES: Croc Tower (10-39 pax) Price: $ 19.50 Quantity: Number of 6-18 year olds climbing the Croc Tower only. If your group has 40+ kids wanting to climb the Croc Tower, choose the option below.ROCKET ROPES: Croc Tower (20+ pax) Price: $ 18.50 Quantity: Number of 6-18 year olds climbing the Croc Tower only. Only use this option if you have 20 or more children that want to climb the Croc Tower.Butterfly Creek onlyBUTTERFLY CREEK ONLY: Under 3's Price: $ 0.00 Quantity: Number of under 3's visiting Butterfly Creek only (max 15)BUTTERFLY CREEK ONLY: Children aged 3-4 Price: $ 9.00 Quantity: Number of 3-4 year old's visiting Butterfly Creek only.BUTTERFLY CREEK ONLY: Children aged 5-17 Price: $ 11.50 Quantity: Number of 5-17 year old's visiting Butterfly Creek only.BUTTERFLY CREEK ONLY: Number of train rides (private) Price: $ 1.50 Quantity: Total number of kids & adults that would like train rides (1 loop around the train track per group).BUTTERFLY CREEK ONLY: Number of train rides (public) Price: $ 2.00 Quantity: Total number of kids & adults that would like train rides (1 loop around the train track per group).BUTTERFLY CREEK ONLY: Would you like to add Children's Meal Packs?*YesNoChoose from two great options: 1. Chicken nuggets (3), small fries & small juice 2. Muesli Bar, fruit pieces (2), potato chips & juiceNo. of Chicken Nugget Meal Packs Price: $ 7.00 Quantity: Includes: Chicken nuggets (3), small fries & small juiceNo. of Muesli Bar Meal Packs Price: $ 7.00 Quantity: Includes: Muesli Bar, fruit pieces (2), potato chips & juiceTotal estimated visit cost (excludes adults)We will work out how many of your adults visiting Butterfly Creek are free of charge based on your numbers & ages of kids. Any adults visiting Butterfly Creek that aren't free of charge will be $18.50 each.Total $ 0.00 TotalTotal $ 0.00 Notes/CommentsTerms and ConditionsRocket Ropes Terms and Conditions* Yes, I understand and agree to Rocket Rope's Terms & Conditions To ensure that your group qualifies for Education rates, we require that the following conditions are met. • Deposit: Rocket Ropes requires a $200.00 deposit to secure your group booking. Your deposit will be deducted from the final balance. Your booking is not confirmed until the deposit has been paid. • Booking: Please make your booking with us prior to arranging transport or bus companies and confirming with parents as we would like to ensure that your selected booking date and time are secured for you before you commit to further resources. Booking are essential to receive educational discounts. Bookings must be during the week. Monday to Friday. Cancellation: If you need to cancel your group booking, we require a minimum of 24 hours' notice to ensure that your deposit is refunded in full. If a cancellation is received after this period then we reserve the right to invoice the group so as to recover the additional staffing costs. Should this charge occur, it is $8.00 per person to a maximum of $200.00 per group. If the course is closed due to inclement weather, this will not be charged. • Amendments: You can amend your booking up to 5 participants (additional or less). If there is an amendment of more than 5 participants, we will of course do our very best to accommodate them, however, we cannot guarantee that they will be accommodated for on the day and we have the right to refuse the additional participants. • Groups must pre-pay or arrange to pay the balance on the day of the visit. One payment per group. An invoice fee of $15.00 does apply if we are to invoice. Participants that pay separately will have to pay full price. • Adults and supervisors are responsible for the children's behaviour. We require an active supervising ratio of at least 1:1O adults to students. These adults need to be at least actively supervising from the ground. Extra teachers and adults participating are charged at student prices. • Special Needs: Special needs students must be actively supervised and have an adult climbing with them. We provide free entry for the supervising adult. Groups: To qualify as a group booking, there must be 10 or more paying participants and bookings must be during the week day - Monday to Friday. Membership passes, specials, vouchers or promotional coupons etc. cannot be redeemed during an Education booking.Butterfly Creek Terms & Conditions* Yes, I understand and agree to Butterfly Creek's Terms & Conditions GENERAL: Butterfly Creek (including respective employees, agents, officers and directors) exclude, to the fullest extent possible under law, all and any liability for any loss, damage or injury (whether direct or indirect or consequential, however arising) suffered by the Guest or any person associated with the Guest in relation to the booked activity. All activities have elements of risk and all guests undertaking any Activity do so voluntarily and at their own risk. To the extent permitted by applicable laws, all warranties, representations and implied terms are also excluded. Butterfly Creek reserves all rights to cancel any Activity at its discretion for (but not limited to) any of the following reasons: a) waterway, road or weather conditions; b) lack of numbers participating in the Activity; c) unsuitability of Guest(s) due to reasons such as intoxication or any other reasons rendering a Guest unsuitable or unfit to participate in the Activity; d) any other circumstances which are beyond the reasonable control of Butterfly Creek. All Guests agree to adhere to any instructions in relation to the Activity from Butterfly Creek at all times. These terms are subject to rights and remedies you have under the Consumer Guarantees Act 2003 GIFT CERTIFICATES: Butterfly Creek Gift Certificates should be used within the expiry date listed on the voucher. Gift Certificates that are of monetary value should be used in one transaction and on the same day. EDUCATION GROUPS & SCHOOL HOLIDAY PROGRAMMES: 1. All education visits must be weekdays and outside school and public holidays. 2. Groups must pay as a group and consist of 10 or more paying visitors (i.e. one payment). There are no exceptions for any late or unaccounted for adults, they will be charged the full price of $28.00 for entry and $3.00 for a train ride - ensure this is communicated to all parents. If they do pay separately they must mention they are with a group to receive the correct wristband. 3. All adults/teachers are responsible for the behavior of their children. You must ensure that Butterfly Creek facilities are not left in an abused or damaged condition. Any damage to Butterfly Creek property will be charged to the group who can then take the matter up with the person/s responsible. 4. Groups are seen as a ‘Special Promotion’ – no membership pass /specials coupons/vouchers can be used on a visit. 5. Valuables should not be left in the bag storage room - Butterfly Creek is not responsible for lost or stolen items. 6. Use of the picnic tables by the playground are for people who have purchased from Papillon Bar & Café. We make an exception for educational groups – children are permitted to bring their own packed lunch. We encourage healthy eating at Butterfly Creek, fast food or takeaways are not permitted to be brought in during school trips. 7. On the day your group is welcomed and will be given guidance & rules etc. from our group co-ordinator, please see our website to download rules, risk management and trip planning information. This form is to give Butterfly Creek an idea of numbers visiting on a day so we can ensure we have sufficient staff here so our enclosures and encounters run smoothly. Arrangements can be postponed or cancelled by the school without incurring a penalty. Refund policy: No refunds within 14 days of visiting unless Butterfly Creek cancels the activity due to waterway, road or weather conditions. Otherwise, refunds are granted solely at the discretion of Butterfly Creek & may incur a 5% admin fee.