School Holiday Program Application Form

The Super Mario Bros. Family Movie Day - Wednesday, 12 April

All family welcome (member, siblings, and parents/guardians).

Would you like to attend the Family Movie Day to see The Super Mario Bros. Movie?(Required)

Yes

First and last name of immediate family members attending:(Required)

Does anyone require wheelchair seating?(Required)

Yes

Wild Action - Wednesday, 19 April

Members and siblings aged 4 - 8 years (can be accompanied by one parent/guardian).

Would your child(ren) like to attend Wild Action?(Required)

Yes

Please list the first and last name of child(ren) attending (immediate family only) as well as the accompanying parent/guardian:(Required)

Olivigna Pasta Making - Thursday, 20 April

Members and siblings aged 5 - 10 years.

Would your child(ren) like to attend the Pasta Making at Olivigna?(Required)

Yes

Please list the first and last name of child(ren) attending (immediate family only):(Required)

Other important information:

Any other allergies, dietary requirements, physical limitations, behavioural/social difficulties for anyone attending that we should be aware of? If yes to any of the following, please specify name and details.

Do you give Challenge permission to use photos of your child on our social media platforms (website, Facebook, Instagram, etc.)?(Required)

Yes

Parent/Guardian Information

Parent/Guardian Name(Required)

First Last

Contact Number(Required)

Contact Email(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Number(Required)