Clone of Sep-Oct 2025 Johnsonville 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:*

Speedy Sonic - Monday 12 January 2026

Monday 12 January 2026 (9:00am - 4:00pm)

$69.00NZD

Tuesday 13 January 2026 Not Available

$ FreeNZD

Ninja Knockout - Wednesday 14 January 2026

Wednesday 14 January 2026 (9:00am - 4:00pm)

$69.00NZD

Bey Battle Showdown - Thursday 15 January 2026

Thursday 15 January 2026 (9:00am - 4:00pm)

$69.00NZD

Friday 16 January 2026 Not Available

$ FreeNZD

Monday 19 January 2026 Not available

$ FreeNZD

Tuesday 20 January 2026 Not Available

$ FreeNZD

Brickbuster Studios: Create - Wednesday 21 January 2026

Wednesday 21 January 2026 (9:00am - 4:00pm)

$69.00NZD

Bricksbuster Studios: Perform - Thursday 22 January 2026

Thursday 22 January 2026 (9:00am - 4:00pm)

$69.00NZD

Friday 23 January 2026 Not Available

$ FreeNZD

Minion Madness - Monday 26 January 2026

Monday 26 January 2026 （9:00am - 4:00pm）

$69.00NZD

Tuesday 27 January 2026 Not Available

$ FreeNZD

Survivor Island - Wednesday 28 January

Wednesday 28th January 2026 (9:00am - 4:00pm)

$69.00NZD

Aqua Adventures - Thursday 29 January 2026

Thursday 29th January 2026 (9:00am - 4:00pm)

$69.00NZD

Friday 30 January 2026 Not Available

$ FreeNZD

Total

$0.00NZD

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

Special Instructions

YesNo

Johnsonville January 2026