North Shore RC4Kids

North Shore Rugby RC4Kids Registration

Term 3 School Holidays Monday 5th and Tuesday 6th October 28 Cambridge Terrace, Devonport, Auckland 9:00 am to 2:30 pm, with drop-off from 8:30am and pick up available until 3pm
Child Information
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Relationship to Child/ren
Parent/ Guardian Email
Please insure this email is correct as we will be contacting you with more information and what to bring.
Alternative Emergency Contact Name

First NameLast Name
Alternative Emergency Contact Phone Number
How did you hear of us?

Other

Two Day Holiday Program

Choose the correct quantity when registering more than one child. If you wish to register your child for just one day, use the code oneday below. Please remember to add a note with what day your child will be attending.

$120.00 NZD Number of Children
Item subtotal:

Enter coupon

Total

Payment Methods
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

If your child is attending for only one day of our two day program, please make a note of which day they will attend below.
Should be Empty:

North Shore Rugby RC4Kids Registration

Emergency Contact Information