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Newcastle Holiday Workshop
Enrolment form
Child 1
Fill out here to enroll your child
First Name *
Your answer
Surname *
Your answer
Suburb *
Your answer
State *
Postcode *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Age at time of Workshop *
Your answer
School your child attends *
Your answer
Child 2
Fill out here if you have a second child
First Name
Your answer
Surname
Your answer
Suburb
Your answer
State *
Postcode
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Age at time of Workshop
Your answer
School your child attends
Your answer
Parent/Guardian Name *
Your answer
Relation to attendee(s) *
Your answer
Contact Number *
Your answer
Additional Contact Number
Your answer
Email Address *
Your answer
Second Contact Name
Your answer
Relation to Attendee(s)
Your answer
Contact Number
Your answer
Additional Contact Number
Your answer
Email Address
Your answer
Does the attendee(s) have any allergies?
Your answer
Does the attendee(s) have any medical conditions?
Your answer
Does the attendee(s) carry any medication?
Your answer
Which Week? *
Enrollment Options *
Three Day Enrollment
Four Day Enrollment
Do you have a Creative Kids voucher? If so, what is your voucher number?
Your answer
Does the attendee(s) have friends attending the workshop that they would like to be added to their group?
Your answer
Does the attendee(s) have any specific requirements?
Your answer
How did you find out about us? *
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