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
    17-Jan 18-Jan 19-Jan 20-Jan 21-Jan
    PM Only Optional AM/PM Optional AM/PM Optional AM/PM No Class
    24-Jan 25-Jan 26-Jan 27-Jan 28-Jan
    Optional AM/PM Optional AM/PM Public Holiday No Class 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.