JULY school HOLIDAY PROGRAM

REGISTRATION FORM

Parents/Carers Name

First Name

Last Name

Parent/Carer Phone

(###)

###

####

Parent/Carer Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child/Young Persons Details

First Name

Last Name

Child/Young Person Email

Age

Child/Young Persons Age

Any medical requirements of Child/young personSubject

08/07/25 - Drop In @ Youth Hub (ages 10-18)

17/07/25 - Bowling (ages 4-18)

AT MAXIMUM CAPACITY

10/07/25 - All 4 Kids Play Centre (ages 4-12)

15/07/25 - Indoor Rock Climbing (ages 8-18)