Footie FIX - Holiday Programme REGISTRATION FORM
7th - 11th October 9am - 3pm. Freyberg High School
School Holiday Programme for 7 -12 year olds
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Email *
Registrants Name *
Guardians Contacts; Name, Number. *
What days will you attend? *
Required
MEDICAL - Does your child have any allergies or medical conditions we need to be aware of? If yes - please explain *
I give consent for the organisers to use any photographs taken during the programme on social media for marketing purposes? *
Required
CANCELLATIONS - I understand that no refund will be given if my child cannot attend the programme for any reason. (Cancellations prior to 3rd October will be fully refunded) *
Required
PICK UP/DROP OFF - I understand I must drop off my child between 8.30am-9am and collect prior to 3.30pm each day. *
Required
Emergency Contact - Please provide the name & contact number of 2 x Emergency Contacts who can be contacted during the camp *
PAYMENT - I understand that payment must be made in FULL prior to the 2nd October 2019 *
Required
Shared Lunch Friday - We will have a shared lunch of Pizza & Chips on Friday (last day). Please let us know if there are any special dietary requirements we should be aware of?
OTHER - Is there anything else we need to be aware of? If yes please indicate below *
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