Summer Holiday Programme
Lakes District Museum Arrowtown
Child's name: *
Child's age: *
Parent/Guardian's Name: *
Parent/Guardian's Phone Number: *
Parent/Guardian's Email: *
Which programmes will be attended (AM 10-12, PM 1.30-3.30), $10 per session: *
Emergency Contact's Name *
Emergency Contact's Phone: *
Name of Medical Centre Enrolled In: *
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