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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
28-Sep 29-Sep 30-Sep 01-Oct 02-Oct
PM Only AM Only Optional AM/PM Optional AM/PM Optional AM/PM
Public Holiday 06-Oct 07-Oct 08-Oct 09-Oct
Optional AM/PM Optional AM/PM 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.