Enrolment Form January Holiday Programme 2019
Child's Surname *
Your answer
Child's First name *
Your answer
Class *
Your answer
If you are not a St Mark's Student, what school do you attend and Year?
Please write your school and Year group.Thank you for considering our Holiday Programme, you will be notified as soon as possible. Priority is given to St Mark's students for those waitlisted. Thank you.
Your answer
Please choose the days you would like your child to attend the Holiday Programme . If a day is not available it means it is full. If you want to go on the wait list please email smart@st-marks.school.nz *
Required
Parent/Guardian's name *
Your answer
Parent/Guardian's contact phone number *
Your answer
Parent/Guardian's email address *
Your answer
Alternate Emergency Contact Name *
Your answer
Alternate Emergency Contact Number *
Your answer
Authorised persons to collect your child other than yourself
Your answer
Family Doctor's name
Your answer
Family Doctor's phone number
Your answer
Is there any other information we should know? ie food allergies, medical conditions, social or behavioural issues or cultural considerations *
Your answer
By answering yes you are giving permission for us to administer first aid or seek relevant medical attention in an emergency. *
By answering yes you agree to the SMART Staff members taking your child out of the school grounds for planned activities. *
We walk or catch public transport to venues in Wellington. See Holiday Activity Guide for activities.
Terms and Conditions of St Mark’s Church School Holiday Programme
• Opening hours are 8:00am – 5:30pm
• All children need to be dropped off by 9:00am (unless pre-approved)
• Children need to bring their morning tea and Lunch everyday unless stated otherwise
• All children need a water bottle, sunscreen, warm clothing, raincoat and hat everyday
• On excursion days, where we take the students out of the school grounds students need to wear safe shoes i.e. no jandals.
• The cost per child is $65 per day. We offer a 15% discount for the third child
• There is a $1 per minute late fee after 5:30pm
• Once you have completed the form your child will be registered for the days you have chosen. You will be charged to your school sundry account.

Cancellation: You have until 48 hours before the day to cancel at no charge. After that there will be no refunds as staff are rostered on and outings are booked and paid for in advance.

• There is a maximum of 50 students at school or 40 on out of school activity days (dependent on the activity)
• Late enrolments may be accepted if places are still available.
• Students cannot bring bikes, skateboards, scooters, roller blades unless it is a wheels day. Students must bring and wear a helmet on Wheels day
• All school rules must be abided by. If there are any problems you may be asked to collect your child from school, similarly if you have omitted information on this form.
• Siblings and friends of St Mark’s families are also welcome to attend

Any questions please contact the SMART office on smart@st-marks.school.nz or 0277340278

By answering yes you agree to the terms and conditions for the SMART Holiday Programme, outlined above. *
If you would prefer to print the completed form and return to SMART please print, otherwise press submit
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