Squiggle Holiday Programme Enrolment Form - July 2017

Enrol your child into the July Holiday Programme by completing this form. If you have already enrolled in Squiggle before, complete the Re-Enrolment form (which is much briefer!)

We are opening during 10th - 21st July 2017

We will be operating from Waikato Diocesan Site (only) during this period.

Once you have completed the form, we will send your invoice for payment which must be paid prior to your child attending the programme.

If you are eligible for WINZ/Study Link, please ensure you have approval with WINZ/Study Link prior to enrolling your child/children.

Please ensure you have read and agreed to the Disclaimer for enrolling your child/children (www.squiggle.org.nz/disclaimer).

    Child's Details

    Please complete the following information for your child.
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    Emergency Contact Details

    In case of an emergency with your child, please provide the contact details for yourself or someone that we can call during the holiday programme hours.
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    Health and Special Needs

    Please provide any information about your child's health and/or special needs that will enable us look after your child during our care. We need to know as much about your child as possible to make sure we are able to give them quality of care, so please make sure to tell us how we can do this.
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    Un-Authorised Collection

    Please advise us who is unauthorised to pick your child up. If listing unauthorised person(s), please provide verified written evidence (e.g. custody, access or protection order) prior to the child commencing the holiday programme.
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    Dates and Location

    Choose which dates you'd like to enrol into.
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    Parent/Guardian Details

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