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
Fully Booked 07-Jul Fully Booked 09-Jul Fully Booked
Fully Booked Optional AM/PM Fully Booked PM Only Fully Booked
13-Jul 14-Jul Fully Booked Fully Booked 17-Jul
PM Only Optional AM/PM Fully Booked Fully Booked 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:
Voucher Number

Child's Name as written on Voucher

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