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
    26-Sep 27-Sep 28-Sep 29-Sep 30-Sep
    Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM
    03-Oct 04-Oct 05-Oct 06-Oct 07-Oct
    Optional AM/PM Optional AM/PM No Class 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 Kids and Parents NSW 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.