EMPOWERING HORIZONS Sept/Oct School Holidays Week 2 Registration Form Question Title * 1. Participants Name Question Title * 2. Contact Name and Email Question Title * 3. Have you used our services before? Yes, we have and have filled out all forms No, we haven't so please email me the forms Question Title * 4. Monday 6th Oct: Cooking and Bonfire Yes, I would like to attend No, I would not like to attend Question Title * 5. Tuesday 7th Oct: Cinemas Yes, I would like to attend No, I would not like to attend Question Title * 6. Wednesday 8th Oct: Bounce Yes, I would like to attend No, I would not like to attend Question Title * 7. Thursday 9th Oct: Games, Art and Music @ The Farm Yes, I would like to attend No, I would not like to attend Question Title * 8. Friday 10th Oct:Gorge Wildlife Park Yes, I would like to attend No, I would not like to attend Question Title * 9. Friday 10th Oct - Sat 11th Oct: Sleepover @ The Farm and Woodhouse Yes, I would like to attend No, I would not like to attend Question Title * 10. Monday 13th Oct: Funtopia Yes, I would like to attend No, I would not like to attend Done