1.Are you interested in using the Holiday Program?

Yes

No

2.How many children will require care?

1

2

3

4

3.Please select the age range of your child/ren.

4-5

6-9

10-12

4.Please select what day/s you are interested in.

Monday

Tuesday

Wednesday

Thursday

Friday

5.Please select whether you require half or full days.

Half day (4.5 hours)

Full day (9 hours)

6.What activities would you like to see in the program?