Holiday Club Registration Form 2018
Holiday Club will be taking place from 25 - 29 June 2018, from 8:00am - 12:30pm.

Please use this form to register your kid(s) for the Holiday Club.

Please note the following:

> 1 registration form needs to be completed per child

> Please indicate the day(s) your child will be attending Holiday Club.

> An Indemnity Form needs to be signed for each child you drop off at Holiday Club.

Child's Name *
Your answer
Child's Surname *
Your answer
Child's Age *
Your answer
Name of school *
Your answer
Child's Grade *
Day(s) your child will be attending? (select the relevant days)
Allergies *
Does your child have any allergies? Please let us know what they are allergic to and whether they are using any form of medication we should be aware of. If no allergies, please state "None".
Your answer
Parent/Legal Guardian's Name (1) *
Your answer
Parent/Legal Guardian's Contact Number (1) *
Your answer
Daytime Contact's Name *
Your answer
Daytime Contact's Number *
Your answer
Email Address *
Your answer
Would you like to receive an SMS/email about our Friday night Children's Activities? *
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