Lane Cove Aquatic Centre Holiday Program
Lane Cove Aquatic Centre Holiday Program
Kids Holiday Program Enrolment Form
Child 1 Name:
*
Date of Birth:
*
School Attending:
*
Child 2 Name:
Date of Birth:
School Attending:
Address
*
Suburb:
*
Postcode:
*
Parent/Guardian's Name:
*
Work Number
*
Home Number
*
Mobile Number
*
Email:
*
Emergency information Name:
*
Relationship
*
Work Number
*
Home Number:
*
Mobile Number
*
Medical Conditions: (Allergies, Asthma, epilepsy, disabilities, heart conditions etc.)
Medications:
Child can swim 25m:
*
Yes
No
Choose a week (or both): • There is a 10% discount available for additional siblings • An additional $15 per day for child minding from (3.30pm till 6pm sharp)
Week 1: Monday 27th Sep - Friday 1st Oct $250 (discount of $27)
Week 2: Monday 4th Oct - Friday 8th Oct $250 (discount of $27)
Or choose the days:
Mon 27th $49/child
After Care $15/child
Tue 28th $65/child
After Care $15/child
Wed 29th $49/child
After Care $15child
Thur 30th $65/child
After Care $15/child
Fri 1st $49/child
After Care $15/child
Mo 4th $49/child
After Care $15/child
Tue 5th $65/child
After Care $15/child
Wed 6th $49/child
After Care $15/child
Thur 7th $65child
After Care $15child
Fri 8th $49/child
After Care $15/child
