Holiday Event Registration Form 

Please complete form for each child.

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* 1. Participants First Name

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* 2. Participants Surname

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* 3. Date of Birth

Date

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* 4. Gender

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* 5. Please select event you are registering your child / children for?

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* 6. Does your child have any medical issues PCYC should be aware of?

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* 7. Full name of parent/guardian

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* 8. Parent/Carer contact number

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* 9. Parent/Carer email address

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