Summer of Surf Holiday Programme
Online Booking Form & Payment Schedule
Adult/parent/caregiver name (must be over 18 years old)
*
First Name
Last Name
Email address
example@example.com
Mobile or landline number
*
-
Number
Participant details
*
Full Name
Age
Medical Conditions
Additional info we should know
Child 1
Child 2
Child 3
Child 4
Child 5
Emergency contact name and phone number
*
My child/ren have attended Summer of Surf holiday programme before
Yes
No
Terms & conditions:
This holiday programme is limited to 25 children per day.
Payment for the holiday programme is required at the time of booking - $15 per child, per session.
Changes or cancellations can be made up until Monday, 30th December 2024 with no charges.
Once the programme has commenced, there are no refunds for cancellations unless 5 working days notice is given. An admin charge of 10% will apply to process a refund.
Your fees for your child/children's booking are non-refundable and non-transferable if they do not attend.
Please provide your child/children with shoes, suitable clothing and swimwear for the advertised activities, sunscreen, sunhat, raincoat, and sufficient food for lunch, snacks and drinks each day.
I permit club photographs featuring me or our family to be used for media purposes promoting Waihi Beach Lifeguard Services
*
Yes
No
If you are booking multiple children on to different dates please provide more details here (i.e. which child on what date).
Summer of Surf Booking & Payments
*
Categories:
All
All
Week 1
Week 2
Week 3
Week 4
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next
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Week 1
Monday 6th Jan
Week 1
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Wednesday 8th Jan
Week 1
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Tuesday 7th Jan
Week 1
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Thursday 9th Jan 3
Week 1
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Friday 10th Jan
Week 1
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Week 2
Monday 13th Jan
Week 2
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Tuesday 14th Jan
Week 2
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Wednesday 15th Jan
Week 2
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Thursday 16th Jan
Week 2
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Friday 17th Jan
Week 2
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Week 3
Monday 20th January
Week 3
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Tuesday 21st January
Week 3
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Wednesday 22nd January
Week 3
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Thursday 23rd January
Week 3
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Friday 24th January
Week 3
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Week 4
Monday 27th January
Week 4
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Tuesday 28th January
Week 4
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Wednesday 29th January
Week 4
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Thursday 30th January
Week 4
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Friday 31st January
Week 4
$
15.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
NZD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: