2025–2026 Holiday Program Registration

2025–2026 Holiday Program Registration

Register your child for our fun, inclusive, and engaging School Holiday Program. Running from 22 December 2025 to 23 January 2026, our program supports children and young people aged 7 to 16 years, operating daily from 9:00 am to 3:00 pm. Please complete all sections of the form to ensure we can provide safe, appropriate, and individualised support for your child throughout the program.

Participant Information
Participant's Full Name*

First NameLast Name
Date Of Birth*
Gender*
Address*

Parent/Guardian Information
Parent/Guardian Full Name*

First NameLast Name
Relationship to Participant*
Phone*
Email Address*
example@example.com

Emergency Contact (other than parent/guardian)
Emergency Contact Name*

First NameLast Name
Relationship to Participant*
Emergency Contact Phone Number*

Medical and Safety Information
Please provide details of medical conditions or special needs, including medications required.*
Please list all allergies and describe any required treatment.*
Primary Disability / Diagnosis*
Behavioral or Safety Considerations*