holiday programFirst Kids Holiday Program, bringing kids fun and adventure all week long.

Come and join all the excitement of games, competitions, new friends, amazing  leaders and cool prizes. Plus our special trip day

Monday Oct 2nd -Friday October 6th ( first week of the school holidays )

First Church Hall 6 Coles Cres Papakura

Ages group  – year 1’s – year 6’s

Cost $70 per child  ($70 per child for the first two children from a family and then $50 per child for any other children from the same immediate family)

WEDNESDAY TRIP

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Each day bring lunch, a hat and good shoes for walking each day

To ensure your child is part of all the fun complete the form below


SCHOOL HOLIDAY PROGRAM APPLICATION FORM

First Name *

Last Name *

Address

Email Address

Phone Number *

Emergency Contact

Date of Birth *
Day : Month : Year :

Current Age *

School Year Level *

Gender *
 Male Female

Medical Concerns or Problems
(Please give full details of any medial problems your child may have and/or any medications they may require)

Allergies
(Please give full details of any allergies you child has)

Indemnity *

Our Commitment :
Throughout the Holiday Program we will do everything we can to maintain & monitor your child's health & safety at all times.

Indemnity :
As a parent/ guardian, I acknowledge that during the program my child will be exposed to the obvious risks associated with program activities. I indemnify the supervisors and leaders of the First Kids summer camp and First Presbyterian Church Papakura and keep them indemnified against all claims, demands and liabilities of any kind (other than due to willful negligence) arising from my child's participation in the programme.

Authorization :
I authorize First Kids summer camp Leadership, in the event of any accident or illness involving my child/ren, to obtain such medical and hospital assistance as they believe may be necessary and agree to meet all expenses thereby incurred.

 Yes I Accept

Images *

I give permission for images of my child to be used in First Kids / First Church promotional material.

 Yes No

Payment *

In order for this registration to be verified a deposit of $20 or full payment of $70 must be paid, either by Online Banking :

• Account Name : First Kids
• Account Number : 06 0401 0188796 00
   (Use Child's First Initial and Last Name as the reference code)
• Or Post check to First Kids PO Box 72978 Papakura.
• Or Drop the money into the church office on the corner of Coles Cres and Gt South    Rd Papakura.

 Paid Deposit Only Paid in Full

 

* Required Field

First Church Holiday Program