School Holiday Programme
This is the registration form for the Otago Country Cricket School Holiday Programme
Venue: Maniototo Area School Gymnasium
Date: 16th & 17th January
Time: Years 4 - 8, 10am - 3pm
Cost $30 per Child
Childs Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School *
Your answer
School Year *
Your answer
Parents Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Payment Method *
If depositing directly into Otago Country Cricket a/c, please use "SHP Ranfurly" as reference and "your surname'" as particular
Notes (medical info, injuries etc)
Your answer
Submit
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