Parent Name *

Number of Children *

Please fill in the child information from oldest to youngest, if more than 1 child

Child Name *

Child Holiday Camp Dates (2025-Jan.) *

Child Date of Birth

Child Food Allergy *

2nd Child Holiday Camp Dates (2025-Jan.) *

3rd Child Holiday Camp Dates (2025-Jan.) *

Phone Number *

Emergency Contact Number *

Email *

Do you have other child/children registered with us before? *

No

Yes

How did you find us? *

Other ways of how did you find us? *

Address

Suburb *