Home, Balwyn Children's Holiday Program

Get set for a school holiday program full of fun, activities and Bible stories!

CHILDREN’S HOLIDAY PROGRAM 2025

Dates: Tuesday July 15 to Friday July 18 2025

Time: 10:00 am to 1:00 pm

The Children’s Holiday Program is an official activity of Balwyn Christian Assembly Inc.

Enquiries: Anne 0466 212 855

Email: balwynchp@gmail.com

Privacy: The information you provide will only be used for the running of the holiday program and will not be passed on to any third party.

PLEASE REGISTER YOUR CHILD:

Balwyn Christian Assembly Children's Holiday Program

First Name

Family Name

School Grade (Please select 0 For Prep)

Home Address

Phone Number

Please give details of any food allergies or medical conditions relevant to participation in the program.

I give consent for my child to attend and participate in the activities carried out in the holiday program on the following days

Tuesday July 15th 2025

Wednesday July 16th 2025

Thursday July 17th 2025

Friday July 18th 2025

I authorise, in my place, the personnel to approve any emergency hospital transportation for medical examination / treatment of my child as deemed necessary.

Yes

I give consent for photographs to be taken of my child and for these to be shown at a reunion of the holiday program and a report at Balwyn Christian Assembly.

Yes

No

I give consent for my child to walk home after the program.

Yes

No

Parent Signature (Full Name). By typing your name in this box you indicate that you are giving consent to the items checked above.

Date Signed

If you are human, leave this field blank.