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Constantiaberg Holiday Club
One form per child. Please ensure that you send after completing. See section 2 for FAQ's and section 3 for payment details.
Last day to submit form Friday 17 June 2022.
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Email
*
Your email
Child’s surname
Your answer
Child’s first name
Your answer
Grade
1
2
3
4
5
6
7
Clear selection
Gender
Male
Female
Clear selection
Home address
Your answer
Mom's details (name & cell number)
Your answer
Dad's details (name & cell number)
Your answer
Back up emergency contact (name & cell number)
Your answer
Allergies & medical conditions that we need to be made aware of
Your answer
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