Shire Elite School Holiday Clinic Booking Form - Cheer
If you are booking in for multiple children that will be attending DIFFERENT days, please complete a new booking form for each child.

For any questions please do not hesitate to contact us.
E: admin@shireelite.com.au
P: 1800 744 733

Email address *
Full name/s of child/children you are booking in: *
Please enter both first and surnames. Please hit 'enter' between each person to ensure each name is on a new line.
Your answer
Ages of child/children you are booking in: *
Please ensure ages are in the same order as above names. Please hit 'enter' between each person to ensure each age is on a new line.
Your answer
Emergency contact name & phone number: *
Your answer
Does this child/children have any allergies or other medical concerns that we should be aware of?
If yes, please provide details along with the name of the child. Eg: Sue Smith - asthma
Your answer
Which day/s would you like to book in: *
If you are booking in for multiple children that will be attending DIFFERENT days, please complete a new booking form for each child.
Required
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