"Limestone Rangers" - Sign up Form  (Term 1 Holidays 2020)
Please complete this form if you want to book your child(ren) in for the Limestone Rangers School Holiday programme (Term 1 Holidays 2020). Price is $55 per child / day.

If you would like to book additional Limestone Rangers days in the future, just email safeoutdoorsnz@gmail.com with the additional dates and I will simply transfer your information (no need to complete the form again).
FYI: We are also running the "Nature'sCool" Holiday Programme in Huanui during these holiday.

Here's the link if you wish to book: https://forms.gle/9hv1P8dxfsNeW2cG8  ($45 per child / day).

Finally - a reminder that we have Earth's Kitchen Sunscreen for sale to our customers at $34 / tube (which is $4 off). If you would like to order some, just fill in the question at the bottom or email safeoutdoorsnz@gmail.com

Thank so much for your support! Luke, Hilary, Emma & Sue
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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? *
What is your child / children's full name(s)? *
How old are they? *
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 book in Week 1 ?
Wed 15th April
Row 1
What date(s) are you wanting to book in Week 2? (You can tick more than one)
Wed 22nd April
Thurs 23rd April
Row 1
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)? *
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 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/limestone-rangers-whanga *
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
4 - 4.15pm (+ $19.50) per person
4.15 - 4.30pm (+ $26) per person
Onerahi Playground
Earth's Kitchen Sunscreen order:  Click here to order Kawakawa & Tamanu SPF50+ certified natural sun protection for adults & children (including babies). (120ml) - Price = $34 each. Please write below how many you would like, and whether you will pick up or need it posted (please include address  + $6 postage).
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Please write below a brief summary of what you are paying for e.g:                                                   (1x child / single day  = $55)        or          ( 2 x kids single day + 1 x sunscreen = $144)              (1 x child / 2 x days + $13 late pick up both days = $136) *
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 "LR" (+ EK if buying sunscreen) followed by your child's last name in the reference. *
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