2025 January - Holiday CampRegistration Form Parents Details First Name Last Name Phone Number * (###) ### #### Email * Address Suburb * Postal code Number of Children * 1 2 3 Authorised Pick Up Name * Authorised Pick Up Number * (###) ### #### Emergency Contact Name * Emergency Contact Number * (###) ### #### Student details Student Name 1 First Name Last Name Student Name 1 DOB MM DD YYYY Student 1 Grade - Select option Years 1-6 1 2 3 4 5 6 Student Name 2 First Name Last Name Student Name 2 DOB MM DD YYYY Student 2 Grade - Select option Years 1-6 1 2 3 4 5 6 Camp Week Week 1 ( 060124- 100124) Week 2 ( 130124-170124) Week 3 ( 200124 to 240124) Camp Bundle * 1 Day 3 Day 5 Day Note down the day/s your child is attending * How did you find us? * Online Website Friend Recommend Instagram Facebook Google Search Email Venue Promotion Others Special Notes Select a plan below