Exergames After School Program Registration
When: Term 4 Tuesdays
Duration: 5 weeks - (Week 2 - Week 6)
Location: Woodward Oval, Parkes
IF YOUR CHILD WAS REGISTERED FOR TERM 3 EXERGAMES THEN YOU ONLY NEED TO COMPLETE THE FIRST 2 QUESTIONS THEN PRESS SUBMIT.
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Child's Name (including last name)
Was your child registered in Exergames After-School in Term 3?
Yes (you can ignore remaining questions and press submit if details have stayed the same)
Child's D.O.B. (Date of Birth)
School your child attends
Holy Family Parish School (Parkes)
Parkes Public School (Parkes)
Parkes East Public School (Parkes)
Middleton Public School (Parkes)
Parkes Christian School (Parkes)
Which program will your child attend? (Select 1)
TUESDAY'S - Woodward oval (4pm - 5:30pm)
Medical Concerns (type N/A if this does not apply)
The program cost is $50. How will you be paying
Cash (hand to an Exergames staff member at the next session)
Online (transfer to Exergames PTY LTD, BSB 802-394, AC 100062942, REF child's name)
Emergency Contact 1 (Name and Phone Number)
Emergency Contact 2 (Name and Phone Number)
Permission for your child to be in photos/videos for Exergames' publications
Permission for your child to walk home after Exergames' Sessions?
A copy of your responses will be emailed to the address you provided.
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