October 2021 Holiday Programme
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Child #2 Name and Age:
Child's #3 Name and Age:
Child #4 Name and Age:
Parent/Guardian's Phone Mobile Number and Emergency Contact details if different:
Which programmes will be attended? (AM 10-12, PM 1.30-3.30, $10 per session)
Wed 6th AM PITCH A MINER'S TENT AND BUTTER MAKING
Wed 6th PM MAKE PAINT AND DO ROCK ART
Thurs 7th AM MUSEUM VISIT AND MOBILE MAKING
Thurs 7th PM MAKE LEMONADE AND BUILD A TOWN
Tues 12th AM BLOCK PRINITNG
Tues 12th PM VICTORIAN DRESS-UP AND GAMES
Wed 13th AM MAKE LEMONADE AND BUILD A TOWN
Wed 13th PM PITCH A MINER'S TENT AND BUTTER MAKING
Are there any allergies, health or behavioural issues to be aware of?
Name of Medical Centre child/ren enrolled in:
I give my permission for my child/ren to be photographed (photos may be used for our Facebook page or marketing)
Payment (Confirmation of booking will be sent upon payment received. No refunds will be given unless notice of cancellation is received 48 hours prior)
I will pay via Internet Banking to a/c # 02-0948-0017755-00 (child's name as a reference and holiday programme)
I will pay by cash at the Lakes District Museum
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