Nature'sCool  - Term 3  / Oct Holidays sign up form. 2020
Please complete this form if you want to book your child(ren) in for the Nature'sCool -Term 3 Holiday programme based in Huanui / Glenbervie (Whangarei).

Note - Please fill in this form even if you have booked with us in the past. However, If you would like to amend your booking or book additional days during the Term 3 Holidays, please just email safeoutdoorsnz@gmail.com with the additional dates and I will simply transfer your information (no need to fill this form again).

FYI: The price is $50 per day with discounts available for multiple days and / or children.

Thanks so much for your support! Luke, Hilary & Emma
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Email *
Parent name *
Parents contact phone number *
Alternative Emergency contact number (different than above) *
How many children are you signing up? Please note that the discounts below are only available if participants are from the same immediate family. *
If you are booking a single child in - then please see below for multiple day discounts:
Clear selection
What is your child / children's full name(s)? And how old are they? *
Does your child have any medical conditions we should know about? - (please include for each child: symptoms, treatment and emergency response if necessary) *
Does your child have any behavioral or learning characteristics that we should know about? (please include a description for each child if necessary). *
Does your child(ren) have any food allergies we should know about? (please include a description for each child if necessary)
In the event of an incident / accident or emergency, do you give Safe Outdoors NZ staff permission to administer "over the counter" medication - including paracetamol, antihistamines or Ventolin (blue inhaler) to your child(ren)? *
If your child is under 6 years of age then they must be accompanied by a (full paying) older sibling or close friend who is 7 years or older- please detail below
What date(s) are you wanting to attend in Week 1? (you can tick more than one)
Tues 29th Sept (4 spots left)
Weds 30th Oct (sorry Full)
Thurs 1st Oct (7 spots left)
Fri 2nd Oct (sorry full)
Row 1
What date(s) are you wanting to attend in Week 2? (you can tick more than one)
Tues 6th Oct (2 spots left)
Wed 7th Oct (2 spots left)
Thurs 8th Oct (8 spots left)
Fri 9th Oct (sorry full)
Row 1
Media Release: please let us know if you / your child(ren) are comfortable with photos / videos of your child(ren) being used on our social media site(s) and / or our website? *
Authorisation: By ticking "Agree" below, you as a guardian of the child or children (listed above), agree to the terms and conditions as outlined on the website https://safeoutdoors.co.nz/naturescool-holiday *
Required
Pick up time & after hours supervision request: Please select the pick up option which applies to you and add the corresponding amount to your total payment in the question below:
3.15 - 3.30pm (no extra charge)
3.30 - 3.45pm (+ $6.50) per person
3.45 - 4pm (+ $13 ) per person
Huanui College
Please write below a brief summary of what you are paying for e.g:     1x child / single day = $50        or          (2 x children / single day ) = $95  etc *
Payment: To confirm your child(ren)'s place in the programme - please make a Direct bank transfer to ANZ account: "Safe Outdoors NZ Ltd" - 01-0877-0763805-00. Please put the code "NC"  followed by your child's last name in the reference. *
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