Active Holiday Programs – Registration Parents Name* First Last Email* Mobile*Child / Children's Names*Please include their date of birth.School* I am booking for (Please tick)The Active Holiday Program operates 9:30am - 3.30pm. Full Week Monday Tuesday Wednesday Thursday Friday Do you require Before Care at $10 per session starting from 8am?* Yes No Please specify days for Before Care.*Do you require After Care at $10 per session starting from 3.30pm - 6pm?* Yes No Please specify days for After Care.*Does your child have any allergies?* Yes No Please specify allergies*Would your child require morning snack and lunch from the cafe for $10 - includes a selection of:*Hot Dog and Chips Chicken Nuggets and Chips Toastie and Chips Noodles (All lunch orders come with: fruit and slushee/juice) Yes No How did you find out about the Holiday Program?*School PromotionFriendSocial MediaMail ChimpCommunity ActivationOtherPlease specify (other)*
