Mt Cook January 2026
Lifepoint Church - 61 Hopper Street, Mount Cook
Student's Full Name:
*
First Name
Last Name
Student's Gender:
*
Male
Female
Student's Birthday
*
-
Day
-
Month
Year
Date
Student's School:
*
Parent / Caregiver Full Name:
*
First Name
Last Name
Parent / Caregiver Phone Number
*
-
Area Code
Phone Number
Parent / Caregiver Email Address
*
example@example.com
The following adult is authorised to pick up my child:
*
First Name
Last Name
How did you hear about us?
*
Already a customer
Word of mouth
Google Ad
Facebook Ad
Flyer
Street Signage
Other
Please select the programmes you wish to enrol in:
*
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Monday 12 January 2026 Not Available
$
Free
NZD
Raceway Rumble - Tuesday 13 January 2026
Tuesday 13 January 2026 (9:00am - 4:00pm)
$
69.00
NZD
Wednesday 14 January 2026 Not Available
$
Free
NZD
Thursday 15 Jaunuary 2026 Not Available
$
Free
NZD
Dragon Duels - Friday 16 January 2026
Friday 16 January 2026 (9:00am - 4:00pm)
$
69.00
NZD
Monday 19 January 2026 Not Available
$
Free
NZD
Magic Academy - Tuesday 20 January 2026
Tuesday 20 January 2026 (9:00am - 4:00pm)
$
69.00
NZD
Wednesday 21 January 2026 Not Available
$
Free
NZD
Thursday 22 January 2026 Not Available
$
Free
NZD
Sweetopia Market - Friday 23 January 2026
Friday 23 January 2026 (9:00am - 4:00pm)
$
69.00
NZD
Monday 26 January Not Available
$
Free
NZD
The Great Treasure Hunt - Tuesday 27 January
Tuesday 27 January 2026 （9:00am - 4:00pm）
$
69.00
NZD
Wednesday 28 January Not Available
$
Free
NZD
Thursday 29 January Not Available
$
Free
NZD
The Ultimate Survivor - Friday 30 January
Friday 30 January 2026 （9:00am - 4:00pm）
$
69.00
NZD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Special Instructions
I consent to the use of any photographs or video recordings of my child on public social media platforms while participating in the Bricks4Kidz programs.
*
Yes
No
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