Christmas Holiday Program

Child's Name *

Child's Name

First Name

Last Name

Age *

School/Kindy

Session *

Please select which day/s you would like to register for:

Monday 17th Dec 9-11am

Tuesday 18th Dec 9-11am

Wednesday 19th Dec 9-11am

Thursday 20th Dec 9-11am

Friday 21st Dec 9-11am

Emergency Contact Name *

Emergency Contact Name

First Name

Last Name

Emergency Contact Number *

Email *

Medical Issues *

Any medical or behavioural conditions that we should be aware of?

Photo Permission *

We will occasionally take pictures during some of our classes which may appear on our website, newsletters or on our social media pages. We will never provide names or any other specific information on your child. Do you give permission for occasional photos to be taken of your child?

Yes

No

Terms and Conditions/Consent *

Please click link on bottom of page for full Terms and Conditions.

I acknowledge that have read and agree to the enrolment Terms and Conditions.

I give permission for my child to participate in Fitness Kids Outdoor Fitness program.