Summer Holiday Holiday Club Booking Form
Please complete all applicable sections. Payment to be made in advance or cash on the day.
Email *
Emergency Contact Number? *
Childs Name (enter more than one name if needed) ? *
Childs Age?
Medical Conditions - Please enter any details we need to be made aware of. *
Days Attending? WEEK 1 *
Required
Days Attending? WEEK 2 *
Required
Days Attending? WEEK 3 *
Required
Days Attending? WEEK 4 *
Required
Days Attending? WEEK 5 *
Required
Days Attending? WEEK 6 *
Required
Times *
Total Payment Due? *
A copy of your responses will be emailed to the address you provided.
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