School Holiday Program

Participant's Name(Required)

First Last

Participant Date of Birth(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Email(Required)

Which Session(s) Are You Applying For?(Required)

Mon 29/9 Morning Session (9:15am arrival)

Tues 30/9 Morning Session (9:15am arrival)

Tues 30/9 Afternoon Session (12:45pm arrival)

Thurs 2/10 Morning Session (9:15am arrival)

Thurs 2/10 Afternoon Session (12:45pm arrival)

Fri 3/10 Morning Session (9:15am arrival)

Fri 3/10 Afternoon Session (12:45pm arrival)

Comments(Required)

Comments e.g medical, dietaries. Please write No, if none

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