Spike Prime Term 4 2025 - St John's Anglican Church Jville

Spike Prime

St John's Anglican Church Johnsonville

18 Bassett Road, Johnsonville

Term 4 2025

18th October - 6th December

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

First NameLast Name
Student's Gender:*

MaleFemale
Student's Birthday*

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

First NameLast Name
Parent / Caregiver Phone Number*
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.
How did you hear about us?*

Already a customerWord of mouthGoogle AdFacebook AdFlyerStreet SignageOther

Whole Term Booking*

Spike Prime Junior - Saturday 2:45 - 4:45pm ( 120 minutes ) - Whole Term - 8 Weeks18th October - 6th December

$384.00NZD

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.
I consent for use of any photographs or video recordings that are taken of my child while participating in our programs*

YesNo
Should be Empty: