Please enable JavaScript in your browser to complete this form.Child's Full Name *FirstLastChild's Date of Birth *Gender *MaleFemaleAddress *Email *Daytime Contact Number *Emergency Contact Number *Parent/Guardian Name *FirstLastMedical Conditions *Days Attending - Week OneWednesday 14th JulyThursday 15th JulyPlease select the days that your child will be attending. Note: Tuesday 13th July is FULL. Days attending - Week TwoTuesday 20th JulyWednesday 21st JulyThursday 22nd JulyPlease select the days that you would like your child attend. Photographs may be taken of the children and staff to be used as promotional material only. Please indicate below if you consent or not for your child to be included.Yes I do consent to photos/videos being taken of my child during the programmeNo I do not consent to photos/videos being taken of my child during the programmeCommentSubmit
