Clone of Sep-Oct 2025 Mt Cook Holiday Programme

Student's Full Name:*

First NameLast Name

MaleFemale

Student's Birthday*

Date

Student's School:*

Parent / Caregiver Full Name:*

First NameLast Name

Parent / Caregiver Phone Number*

Area CodePhone Number

Parent / Caregiver Email Address*

example@example.com

The following adult is authorised to pick up my child:*

First NameLast Name

Please select the programmes you wish to enrol in:*

Monday 12 January 2026 Not Available

$ FreeNZD

Raceway Rumble - Tuesday 13 January 2026

Tuesday 13 January 2026 (9:00am - 4:00pm)

$69.00NZD

Wednesday 14 January 2026 Not Available

$ FreeNZD

Thursday 15 Jaunuary 2026 Not Available

$ FreeNZD

Dragon Duels - Friday 16 January 2026

Friday 16 January 2026 (9:00am - 4:00pm)

$69.00NZD

Monday 19 January 2026 Not Available

$ FreeNZD

Magic Academy - Tuesday 20 January 2026

Tuesday 20 January 2026 (9:00am - 4:00pm)

$69.00NZD

Wednesday 21 January 2026 Not Available

$ FreeNZD

Thursday 22 January 2026 Not Available

$ FreeNZD

Sweetopia Market - Friday 23 January 2026

Friday 23 January 2026 (9:00am - 4:00pm)

$69.00NZD

Monday 26 January Not Available

$ FreeNZD

The Great Treasure Hunt - Tuesday 27 January

Tuesday 27 January 2026 （9:00am - 4:00pm）

$69.00NZD

Wednesday 28 January Not Available

$ FreeNZD

Thursday 29 January Not Available

$ FreeNZD

The Ultimate Survivor - Friday 30 January

Friday 30 January 2026 （9:00am - 4:00pm）

$69.00NZD

Total

$0.00NZD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Special Instructions

YesNo

Mt Cook January 2026