Otago Cricket School Holiday Programme - Dunedin (19th/20th July)
Email address *
Child Name *
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Date of Birth *
Your answer
School Year (2018) *
Your answer
School *
Your answer
Dates (specify date if your child will only be attending one day) *
Required
Disclaimer: I authorise Otago Cricket to use any images taken of my child while participating in the programme on their website and social media channels *
Parent Mobile *
Your answer
Any medical conditions we should be aware of and treatment plan
Your answer
Any additional comments Otago Cricket should be aware of
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Payment Option:
A copy of your responses will be emailed to the address you provided.
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