NDGC 2026 WINTER HOLIDAY PROGRAM Booking Form

NDGC 2026 WINTER HOLIDAY PROGRAM BOOKING FORM

(please complete one form per family)
Child 1 - Name

First NameLast Name
Child 1 - DOB
example; 01/01/2000
Child 1 - Medical Notes - If yes please list
Child 2 - Full Name

First NameLast Name
Child 2 - DOB
example; 01/01/2000
Child 2 - Medical Notes - If yes please list
Child 3 - Full Name

First NameLast Name
Child 3 - DOB
example; 01/01/2000
Child 3 - Medical Notes - If yes please list
Parent/ Guardian Name

First NameLast Name
Mobile Contact Number
Email
Address

example: 5 Whipple St Balcatta 6021

Street Address Line 2

SuburbState / Province

Post Code
Emergency Contact Name Must be different from parent

First NameLast Name
Emergency Contact Number Must be different from parent
PERMISSION TO CALL AMBULANCE IN CASE OF EMERGENCY
PHOTO PERMISSION - During the Holiday Program children may be photographed/ videoed for future promotional use by NDGC on printed material, social media and/or website. Please tick YES or NO if you agree to your child taking part.
SPECIAL NOTE: 4year olds can ONLY attend the AM HALF DAY SESSION - 8am to 11am

Bookings for 4year olds will NOT be accepted for any other times!
WEEK ONE
Select Day/s
Select Booking Options
SPECIAL NOTE: 4year olds can ONLY attend the AM HALF DAY SESSION - 8am to 11am

Bookings for 4year olds will NOT be accepted for any other times!
WEEK TWO
Select Day/s
Select Booking Options

PRICING

AM HALF DAY (4 to 12 Years old)	$45 per child
FULL DAY (5 to 12 Years old)	$70 per child
FULL DAY + EXTENDED PLAY (5 to 12 Years old)	$80 per child
PM HALF DAY(5 to 12 Years old)	$45 per child
PM + EXTENDED PLAY(5 to 12 Years old)	$60 per child
3 DAYS	$200
3 DAYS + EXTENDED PLAY	$228
4 DAYS	$252
4 DAYS + EXTENDED PLAY	$288
5 DAYS	$298
5 DAYS + EXTENDED PLAY	$340

NDGC 2026 WINTER HOLIDAY PROGRAM BOOKING FORM