Summer Holiday Club 2021

Summer Holiday Club 2021

Registration Form

Your Child
Child's Name*

First NameLast Name
Gender*
School Year*
Please select the school year relevant for your child in the 2021/22 academic year.
Does your child have any specific physical or educational needs?*
Does your child have any allergies?*
Are you registering more than one child for this class?*

Second Child
Child's Name*

First NameLast Name
Gender*
School Year*
Please select the school year relevant for your child in the 2020/21 academic year.
Does your child have any specific physical or educational needs?*
Does your child have any allergies?*

Your Information
Your Name*

PrefixFirst NameLast Name
Relation to Child(ren)*
Mobile Phone Number*
E-mail Address*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Terms and Conditions
Please Tick*

I have read and accept the Terms and Conditions of membership
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