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Details

Winter School Holiday Program 2024

Mon 08 Jul 2024 9:00AM — Fri 19 Jul 2024 5:00PM
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Park 10 - Graduates Clubhouse, 155 McKinnon Parade, North Adelaide

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

How many children are you enrolling for the program?*

Child 1: Name*

Child 1: DOB (ages 5-11 ONLY)*

Child 1: School Attending*

Child 1: Does your child have any known medical conditions, allergies or dietary requirements?* Max. 255 characters

Child 1: Please list any medication your child is currently taking* Max. 255 characters

Child 1: Please provide any other information we should be made aware of* Max. 255 characters

Child 2: Name*

Child 2: DOB (ages 5-11 ONLY)*

Child 2: School Attending*

Child 2: Does your child have any known medical conditions, allergies or dietary requirements?* Max. 255 characters

Child 2: Please list any medication your child is currently taking* Max. 255 characters

Child 2: Please provide any other information we should be made aware of* Max. 255 characters

Child 3: Name*

Child 3: DOB (ages 5-11 ONLY)*

Child 3: School Attending*

Child 3: Does your child have any known medical conditions, allergies or dietary requirements?* Max. 255 characters

Child 3: Please list any medication your child is currently taking* Max. 255 characters

Child 3: Please provide any other information we should be made aware of* Max. 255 characters

Child 4: Name*

Child 4: DOB (ages 5-11 ONLY)*

Child 4: School Attending*

Child 4: Does your child have any known medical conditions, allergies or dietary requirements?* Max. 255 characters

Child 4: Please list any medication your child is currently taking* Max. 255 characters

Child 4: Please provide any other information we should be made aware of* Max. 255 characters

Are you interested in purchasing a lunch order for $10?*

Parent/Guardian Name*

Emergency Contact Number*

Relationship to Child*

How did you hear about the Adelaide University Sport School Holiday Program?*

Do you give permission for your child/ren's photo to be taken and used for promotional purposes?*

I have read and agree to the Terms and Conditions and Behaviour Management Guidelines (available via https://cdn.revolutionise.com.au/site/xlks0pmhffkkwi4n.pdf)*

Yes

Select tickets

Monday 8 July 2024

$70.00 ea

Tuesday 9 July 2024

$70.00 ea

Wednesday 10 July 2024

$70.00 ea

Thursday 11 July 2024

$70.00 ea

Friday 12 July 2024

$70.00 ea

Monday 15 July 2024

$70.00 ea

Tuesday 16 July 2024

$70.00 ea

Wednesday 17 July 2024

$70.00 ea

Thursday 18 July 2024

$70.00 ea

Friday 19 July 2024

$70.00 ea

Please note

All prices are inclusive of GST.

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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Details

Basic details

Additional information

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