After School Care Booking Form Term 1, 2023

*Parent/Caregiver's Name

*Parent/Caregiver's Phone Number

*Parent/Caregiver's Email

*Name of Child/Children

Please use a comma to separate children's names.

Please select the required weeks

• Week 1, 02/02 - 03/02
• Week 2, 07/02 - 10/02
• Week 3, 13/02 - 17/02
• Week 4, 20/02 - 24/02
• Week 5, 27/02 - 03/03
• Week 6, 06/03 - 10/03
• Week 7, 13/03 - 17/03
• Week 8, 20/03 - 24/03
• Week 9, 27/03 - 31/03
• Week 10, 01/04 - 06/04

Please use this option to book entire weeks of After School Care. Select as many weeks as you require.

Day 1

Please use this option to book individual days of After School Care. Please enter the date in day/month/year format. You can enter up to 10 dates per submission.

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10