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* 1. Child's name

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* 2. Parent's Name

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* 3. Childs D.O.B

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* 4. Mobile phone number

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* 5. Email Address

Dates Attending

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* 6. Week 2- July 16 till July 20 
Full Days (9am-3pm) including lunch.

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* 7. Week 2- July 16 till July 20 
Half Days (9am-12pm Pick up)

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* 8. NDTA will be providing extended hours for busy parents (no additional cost) drop off from 8.30am/pick up until 4pm.
Would you like to use this service ?

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* 9. How did you find out about NDTA's School Holiday Programs?

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