Durban North Baptist Church
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Holiday Care Sign-up form:
*
Indicates required field
My Child's Name:
*
My Child's Surname:
*
Child's Birth Date DD/MM/YYYY (for database purposes)
*
Child's Age:
*
3
4
5
6
7
8
9
10
11
12
13
Other
Please note we cater only for children 3 years - Gr.7
Children need to be potty trained before they can attend
Parent/Guardian's Name & Surname:
*
First
Last
Phone Number
*
Email
*
Additional Emergency Contact
*
First
Last
Phone Number
*
Relation To Child
*
Name of School:
*
My child is in
*
Pre-school
Gr. 1
Gr. 2
Gr. 3
Gr. 4
Gr. 5
Gr. 6
Gr. 7
What pickup time will you be fetching your child on most of the days?
*
Pickup 1 (13:00)
Pickup 2 (15:00)
Pickup 3 (17:30)
Any Allergies/Medication/Dietary/Special Needs we need to be aware of:
*
Which Holiday Care
*
June/July (TBC)
September (TBC)
December (TBC)
Submit
Home
I'm New
Connect
Children's Ministry (0-13)
Youth Ministry (13-18)
Young Adults
Life Groups
Ladies
Families
Missions
@Tap Coffee Corner
@Tap Community Center
>
@tap Wishlist
@Tap Holiday Care
Community UPLift
LiveFITNorth
About us
Staff
What we Believe
Sermons
Resources
Downloads
Contact Us
Latest News