Spike Prime Term 2 2025 - St John's Anglican Church Jville

Spike Prime

St John's Anglican Church Johnsonville

18 Bassett Road, Johnsonville

Term 2 2025

10th May - 21st June

Saturday 2:45 - 4:45pm
Child's Details
Student's Full Name:*

First NameLast Name
MaleFemale
Student's Birthday*

DayMonthYear
Date
Student's School:*
Parent / Caregiver Full Name:*

First NameLast Name
Parent / Caregiver Phone Number*
Format: (000) 000-0000.
Parent / Caregiver Email Address*
example@example.com
Second Emergency Contact Person Name *

First NameLast Name
Second Emergency Contact Person Phone :
Please enter a valid phone number.Format: (000) 000-0000.
Already a customerWord of mouthGoogle AdFacebook AdFlyerStreet SignageOther

Whole Term Booking*

Spike Prime Junior - Saturday 2:45 - 4:45pm ( 120 minutes ) - Whole Term - 7 Weeks

10th May - 21st June

$336.00NZD

Total

$0.00NZD

Special Instructions
I agree not to send my child to a Bricks 4 Kidz Holiday Programme if presenting with cold or influenza-like symptoms.

I agree to my child receiving minor medical treatment, as considered necessary by first-aid certified staff. Furthermore, I agree to staff seeking further medical attention in the event of an emergency and I consent to treatment by medical authorities present.
YesNo
Should be Empty: