West Harbour School Holiday Camp
Dates:Tuesday the 6th of October & Wednesday the 7th of October
Time: 9:00am to 3:30pm
Venue: St. Luke's Oval
Price: $80 for 2 days, $60 for 1 day
Please fill out separate form for siblings
Transfer money to the following bank account (Child/s name in the reference);
West Harbour Rugby
BSB: 633 000
ACC: 175 095 355
Mobile: 0423 446 385 Email:
Name of Child
Date of Birth
Is your child registered at a junior rugby club?
If yes, what club is your child registered at?
Do you give consent for your child's name and photo to be published?
Yes, I give consent for my child's name and photo to be published
No, I do NOT give consent for my child's name and photo to be published
Any medical conditions or dietary requirements?
If you answered yes to the above question - what is your child's medical condition?
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