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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
    04-Jan 05-Jan 06-Jan 07-Jan 08-Jan
    AM Only Optional AM/PM Class Full Optional AM/PM Class Full
    11-Jan 12-Jan 13-Jan 14-Jan 15-Jan
    Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM
    18-Jan 19-Jan 20-Jan 21-Jan 22-Jan
    Optional AM/PM Optional AM/PM Optional AM/PM Optional AM/PM Class Full
    25-Jan 26 Jan 27-Jan
    Optional AM/PM Public Holiday Class Full

    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.