2025 Change of Date Application Form

Your contact details:

First Name *

Last Name *

Business Name

Address *

Street address *

City *

State *

Postcode *

Email address *Please ensure this email will be functional

Mobile phone number *We will only contact your mobile number if you do not reply to our emails

2025 Permit Vehicle Details:

Make *

Model *

Colour *

Registration *

State of Registration *

Dates of Original Permit

Arrival Date *

Departure Date *

New Dates Requested:

Date of Arrival *

Date of Departure *

Detailed Reason For Change of Dates *

Document Required - Please provide evidence for change Eg. - Proof of Accommodation Dates Or Statutory Declaration outlining the request *

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Terms and conditions:

* THE ORIGINAL PERMIT MUST BE RETURNED TO THE ARV - FCAR OFFICE BEFORE A NEW PERMIT WILL BE ISSUED

I ACKNOWLEDGE THAT I HAVE READ AND AGREE TO ABIDE BY THE ABOVE CONDITIONS. FURTHERMORE, I ACKNOWLEDGE THAT FALLS CREEK ALPINE RESORT, INCLUDING ITS SERVANTS AND AGENTS, WILL NOT BE LIABLE FOR ANY LOSS OR DAMAGE CAUSED TO ANY VEHICLE, OR ITS CONTENTS EXCEPT WHERE CAUSED BY FCAR’S OR ITS SERVANTS’ OR AGENTS’ NEGLIGENCE. I WILL INFORM FCAR IMMEDIATELY SHOULD ANY CHANGE IN MY CIRCUMSTANCES OCCUR WHICH AFFECTS MY ELIGIBILITY FOR THIS PERMIT https://www.fallscreek.com.au/termsconditions/

Yes, I agree to the Terms & Conditions of entry. *

Applicant's Signature *

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Date *

Managers Signature *

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Date of Approval *

Approved

YesNo

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