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Holiday Programme Enrolment

Programme Information

Date*

Day

Month

Year

Programme Type*

Child's Full Name*

What School Does Your Child Go To?*

Birthday*

Day

Month

Year

Allergies or Medical Conditions (clear indication of any medical concerns)*

If Medicine Required*

Not Applicable

Medication Consent Form

Self-Medication Form

Behavioural, Cultural or Special needs:*

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