Register for Holiday Kids Club April 2024
Holiday Kids Club: Thurs 18 April 2024

131 Gunnedah Road, Taminda, Tamworth NSW
Contact us: Esther Hutton 0490 164 751   |   Sam Blaxland 0491 119 982

Sponsored by Tamworth Bible Baptist Church
Free Entry | Ages 6-13
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Child's information
First and last name *
Gender *
Date of birth *
How did you first hear about HKC? *
Child's medical details
Does the child suffer from (please tick) *
If you have ticked any of the medical conditions listed, please provide further information regarding the condition and the administration of any medication in the space provided.
(eg. Asthma - 2 puffs of Bricanyl to be taken at 9 am) Please note: Scheduled medication must be provided in the original container (as required by legislation).
Medicare number *
Position on card *
Valid until *
Child's dietary information
If your child has special dietary requirements, please provide the necessary information in the space provided.
Enrol a second child?
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