Holiday Program

Holiday Program

Thank you for registering your child to attend the Wildly Curious Holiday Program, your child MUST be 5 years old to participate. Age range is 5 - 12. This program will be held at our new hub, Morris & James, 48 Tongue farm road . Please complete the form below. Sessions are from 9.00am - 2.30pm. Cost is $85. Payment must be paid in full before your child can participate. An invoice will be emailed once you have registered. Further information on our website www.wildlycurious.nz
Child's Name

First NameLast Name
Child's date of birth

DayMonthYear
Date
Age your child is
Parent's Name

First NameLast Name
Parent's Email
example@example.com
Current Address
Parent's Mobile Number

Area CodePhone Number
Emergency Contact Name (if the parent above is not available)

First NameLast Name
Emergency Contact Number

Area CodePhone Number
Relationship to the child
Please tick the day/s you wish to book
Do you have any concerns about your child at this time; social, behavioural, learning? Please be honest in your answer.
Please state if your child has any medical conditions / allergies (including food / animals) or any other information that you feel we should be aware of:
Disclaimer: By enrolling my child in the Wildly Curious holiday program, I acknowledge that outdoor activities involve inherent risks, including but not limited to minor injuries, exposure to natural elements and interactions with animals. I understand that the Wildly Curious team takes all reasonable precautions to ensure a safe and enriching experience. I agree to not hold Wildly Curious or its staff liable for any accidental injuries or incidents that may occur during the program.
Signature
Address is: 48 Tongue Farm Road.

We will be based in the building to the right of the cafe entrance.

Many thanks, Clara, Wildly Curious
Should be Empty: