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

    18-Dec

    19-Dec

    20-Dec

    21-Dec

    22-Dec

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    25-Dec

    26-Dec

    27-Dec

    28-Dec

    29-Dec

    Public Holiday

    Public Holiday

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    08-Jan

    09-Jan

    10-Jan

    11-Jan

    12-Jan

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    15-Jan

    16-Jan

    17-Jan

    18-Jan

    19-Jan

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    22-Jan

    23-Jan

    24-Jan

    25-Jan

    26-Jan

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    Optional AM/PM

    Public Holiday


    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:

    Message:

    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.