Christmas Activities Booking Form
Parents/Carer Name
*
First Name
Last Name
Mobile Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
Town
State
Post Code
Child Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
N/A
Child Name
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Child Name
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Child Name
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Child Name
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Child Name
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Christmas Activities - Please select the activity you are interested in
Please Select
1)Christmas Movie and Pizza afternoon $5 Wednesday 4th December 4pm-6pm
2)Christmas Candle Decorating Workshop $30 Tuesday 10th December 3:30pm - 4:30pm
3) Christmas Cookie Decorating $20 Friday 13th December 10am-11am
4) Christmas Cookie Decorating $20 16th December 10am-11am
5) Christmas Decoration Workshop $30 Tuesday 17th December 3:30pm-4:30pm
4) Gingerbread House Decorating $45 Monday 23rd of December 10am-12pm
7) Christmas card making workshop $20 Monday 23rd December 1:30pm-3:00pm
If you are wanting to use your NDIS plan to pay for activities there will be an additional 15 minute admin charge of $48.50 to cover time associated with NDIS billing
Will you be using your child's NDIS plan for this activity?
*
YES
NO
Additional information staff should be aware of. E.g. Risks, Allergies, sensory preferences, any modifications that can be made to make your child feel comfortable and welcome.
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