Girls FX P

Global Roaming Pilbara Foundation Ltd (GRPF) is excited to once again to be running our Octoboer School Holiday Program!

Over 3 days, we will be having a Staycation in Karratha, visiting several locations such as Miaree Pool and Point Samson as well has running various activties including a bake-off.

The Girls FX July School Holiday program is free of charge and all meals are provided.

The program will run as per below:

BOOKED OUT! Tuesday 3rd October 2023 @ Miaree Pool
10am - 2pm
Swimming, games and a BBQ.

Contact Amy on 0450 100 296 to join a waitlist.

Wednesday 4th October 2023 @ Leisureplex Clubroom
10am - 2pm
A cake bake off with a range of prizes for winners of each category.
(Lunch included)

Thursday 5th October 2023 @ Point Samson
10am - 2pm
Beach day, games and a picnic for lunch.

Attendee Information

Name

First NameLast Name

Birth Date

MonthDayYear

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent/Guardian Information

Name

First NameLast Name

Mobile Number

Area CodePhone Number

E-mail

Does your daughter have any allergies, food intolerances, chronic illness, or medical conditions that may affect their ability to undertake physical activities? If yes, please describe.

Informed Consent and Acknowledgement I hereby give my approval for my daughter’s participation in any and all activities conducted by Global Roaming Pilbara Foundation during the selected session. I hereby give my consent for any images, videos, or any record of the classes/activities, containing my child's image to be used or legitimate purpose of GRPF and its partners.

Details and Information the Girls FX October School Holiday Program is free of charge and meals are provided. Please don't hesitate to contact myself if you have any concerns regarding the program.

If there are any further questions, feel free to contact Amy Smith (0450 100 296 or amy@grpf.org.au).

Please indicate which days your daughter will be attending

Pick up location (please note that these times are an approximation, more accurate times will be provided closer to the date)

Due to the water-based activities we will be taking part in, please indicate your daughter's swimming level.

Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature