EXPRESSION OF INTEREST

SUMMER SCHOOL HOLIDAYS (5 DECEMBER 20 - 25 JANUARY 21)

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* Child's Name

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* Date of Birth

*

Date

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* School Attending

Other (please specify)

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* Parent's Name

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* Parent Phone

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* Parent Email

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* I am interested in my child attending Vacation Care on the following dates

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* I am interested in receiving the following additional information about Kidspace