2023 SPRING SEPT-OCT HOLIDAY PROGRAM BOOKING FORM

2023 SPRING SEPT-OCT HOLIDAY PROGRAM BOOKING FORM

4yrs to 12yrs (4yrs AM Half Day Only)
NO more bookings for the following days

Tuesday 26th September - Fully Booked

Wednesday 27th September - Fully Booked

Thursday 28th September - Fully Booked

Friday 29th September - Fully Booked
CHILD 1 - DETAILS*

First NameLast Name
DOB*
MEDICAL NOTES - CHILD 1 (if yes please list)
CHILD 2 - DETAILS

First NameLast Name
DOB
MEDICAL NOTES - CHILD 2 (if yes please list)
CHILD 3 - DETAILS

First NameLast Name
DOB
MEDICAL NOTES - CHILD 3 (if yes please list)
PERMISSION TO CALL AN AMBULANCE IN CASE OF EMRGENCY*

YESNO
PHOTO PERMISSION - During the Holiday Program children may be photographed/ videoed for future promotional use by NDGC on printed material, social media and/or website. Please tick YES or NO if you agree to your child taking part.*

YES, I give permission for my child to be photographed/ videoedNO, I do not give permission for my child to be photographed/ videoed
PARENT/ GUARDIAN DETAILS*

First NameLast Name
Contact Number*
EMAIL*
ADDRESS*

Street Address

Street Address Line 2

SuburbState

Post Code
EMERGENCY CONTACT*

First NameLast Name
Contact Number*

WEEK 1 - click on the day/s you would like to attend

	FULL DAY 8AM - 3PM	FULL DAY + EXTENDED PLAY 8AM - 4.30PM	PM HALF DAY 12PM - 3PM	PM HALF DAY + EXTENDED PLAY 12PM - 4.30PM	AM HALF DAY 8AM - 11AM
FRIDAY 29TH

WEEK 2 - click on the day/s you would like to attend

	FULL DAY 8AM - 3PM	FULL DAY + EXTENDED PLAY 8AM - 4.30PM	PM HALF DAY 12PM - 3PM	PM HALF DAY + EXTENDED PLAY 12PM - 4.30PM	AM HALF DAY 8AM - 11AM
MONDAY 2ND
TUESDAY 3RD
WEDNESDAY 4TH
THURSDAY 5TH
FRIDAY 6TH

PRICES

	QUANTITY	TOTAL
FULL DAY - $70(per child)
FULL DAY + EXTENDED PLAY - $80(per child)
AM OR PM HALF DAY - $55(per child)
PM HALF DAY ONLY + EXTENDED PLAY $65(per child)
3 DAYS - $199.50
3 DAYS + EXTENDED PLAY - $228
4 DAYS - $252
4 DAYS + EXTENDED PLAY - $288
5 DAYS - $297.50
5 DAYS + EXTENDED PLAY - $340