Autumn Holiday Program Registration
Due to Covid-19 restrictions places in this program are limited. On the day attendees will be asked to sign in via QR code before entering If you are feeling unwell or showing any minor Covid related symptoms please refrain from attending.
Particpant Information
Name
*
First Name
Last Name
School Year
*
Gender
*
Male
Female
Non-Binary
E-mail
*
Programs you would like to register for
*
7 April Wed - String Art
8 April Thurs - Zine Fundamentals
12 April Mon - Nintendo Switch Comp and Socials
13 April Tues - M.A.D Workshop
14 April Wed - Ikigai: Find Your purpose
15 April Thurs - Yuko's Hip hop Workshop
Emergency Contact Information
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
Phone Number
*
-
Area Code
Phone Number
Allergies
& Dietary Preferences
Do you have any allergies that we should be aware of?
*
Other
How did you hear about our program?
*
Instagram
Facebook
Mosman council events page
Please sign if you consent to photographs or video of you appearing in Mosman Youth/Mosman Council promotional publications &/or media? - if you are under 18 this must be signed by parent/guardian
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