Ha
Please complete this form and further details will be sent to you. Please only complete the form ONCE
Child 1
*
Full name
Age
Child 2
Full name
Age
Child 3
Full name
Age
Parent's name
*
First Name
Last Name
Parents email
*
example@example.com
Phone number
*
Address
*
address line 1
Street Address Line 2
City
State / Province
Post code
What days will your child be attending? (Friday is no longer available)
*
Week 1
Week 2
Week 3
Will you require Lunch Buffet?
*
Yes
No
Vegetarian
Do you require Wrap around? AM- 9am-10am PM - 4pm-5.30pm
*
Mon AM
Mon PM
Tues AM
Tues PM
Wed AM
Wed PM
Thurs AM
Thurs PM
NONE
Please let us know about any medical / Allergy information including all information about any medication your child may need during their time with us.
Do you consent to your child appearing in photographs / videos of the day to document the activities and marketing purposes?
*
Yes
No
Your child's place is not confirmed until your deposit has been paid. Please do not complete this form more than once.
I understand
Submit
Should be Empty: