School Holiday Camp Booking Form

Child 1:
Name:
(required)
Date of Birth:
(required)
School:

Child 2:
Name:

Date of Birth:

School:

Please select number of attendant(s) for the day(s) requested:

Monday
Tuesday
Wednesday
Thursday
Friday
21-Dec 22-Dec 23-Dec 24-Dec Public Holiday
Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM
Public Holiday 29-Dec 30-Dec 31-Dec Public Holiday
Optional AM/PM Optional AM/PM Optional AM/PM
04-Jan 05-Jan 06-Jan 07-Jan 08-Jan
Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM
11-Jan 12-Jan 13-Jan 14-Jan 15-Jan
Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM
18-Jan 19-Jan 20-Jan 21-Jan 22-Jan
Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM
25-Jan Public Holiday 27-Jan
Optional AM/PM Optional AM/PM

Name of Parent/Guardian:
(required)
Mobile:
(required)
Email:
(required)
Another Emergency Contact:
Name:

Mobile:

Additional Information:
Any allergies or Medical conditions or other details we should know about:

NSW Creative Voucher Details if applicable:
Child 1 Voucher Number

Child 2 Voucher Number

I give permission for my child/ren to be photographed during the camp. I understand that pictures may be used for promotional purposes in the future:
YESNO

By submiting this form you agree with our Terms and Conditions.