Nature'sCool - Sign Up Form - Term 2  2021
The Term 2 programme is ten weeks in total beginning Wednesday 5th May and ending Wednesday 7th July. The price will remain at $65 for Term 2. I am happy to negotiate discounts for multiple children and there is a discount for full early payment (Due 12th May). Part payment plans aligning with the Terms & Conditions (2 weeks in advance) are also available.  For full details please visit: www.safeoutdoors.co.nz/details .

Please note that our maximum numbers and associated ratio between participants & facilitators will remain fluid while we confirm our total numbers for Term 2. Generally speaking, our maximum ratio is 1:7 (paying participants). Spaces will be issued on a first paid / first served basis. In an effort to minimize congestion with school traffic, the pick up time will continue to be from 3.30 - 3.45pm  (Please email safeoutdoorsnz@gmail.com if you have any questions).


Sign in to Google to save your progress. Learn more
Email *
Parent name *
Parents contact phone number *
Alternative Emergency contact number (different than above) *
How many children are you signing up? *
What is your child / children's full name(s)? *
How old are they? *
Please choose from the following options:
Full day ($65)
Wed
Clear selection
If your child(ren) attend school, please list the name of the school below:
Do you require assistance compiling an application for release of your child from school? *
Does your child have any medical conditions we should know about? - (please include for each child: symptoms, treatment and emergency response 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)? *
Please briefly summarize below why this programme will be beneficial to your child - include any behavioral or learning characteristics that we should know about? (We will elaborate and discuss this via email). *
Does your child have any food allergies we should know about? (please include a description for each child if necessary) *
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/terms-%26-conditions *
Required
Full day: Pick up time & after hours supervision request: Please select the options which best applies to you. (Prices are 'per child'. Please add the corresponding amount to your total payment in the appropriate question below:
Standard pick up 3.30 - 3.45pm (no charge)
3.45pm - 4pm (+ $13) per child
Full day
Clear selection
Please indicate below your intended payment schedule: *
Please summarize what it is you are paying for below: e.g: 1 x child, full day for 10 weeks = $650   (- $20 discount for early full payment) = $630 *
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 T2"  followed by your child's last name in the reference.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms