VIP Kids Club Holiday Program

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VIP Kids Club Holiday Program (6 Balcairn Street, Halswell, Christchurch 8025)
7 Jul, 2026 9:30 am
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First Name

Date of Birth

Gender

Home Address Line 2

Last Name

Age

Home Address

Home City

Any medical information we need to know about

Food allergies / intolerances

Behavioural / learning needs we need to know about

First and Last Name

Mobile Number

Relationship to child

Email Address

Caregiver Address

Same as above?

Yes

E.C. 1 Relationship to child

E.C. 1 Name

E.C. 1 Phone

E.C. 2 Relationship to child

E.C. 2 Name

E.C. 2 Phone

My child/children will be attending (tick all that apply)...(please note that the program is designed to build on the previous day's content)

Tuesday 7th July 9:30am to 12:30pm

Wednesday 8th July 9:30am to 12:30pm

Thursday 9th July 9:30am to 12:30pm

I give permission for my child/children to attend The VIP Kids Club Holiday Program hosted by Living Waters Christian Centre

Yes

I give permission for my child to be in photograhs for public use.

Yes

Any additional things you'd like us to know about your child