Year 1 to Year 8
Tuesday 26 July 10.00am to 1.00pm
Wednesday 27 July 10.00am to 1.00pm
Sports Programme: includes ripper rugby, end ball, 2 ball soccer, netball, indoor cricket.
Venue 1: Masterton Indoor Sports Centre, corner of Papawai Pl
and Ngaumutawa Rd Masterton.
Masterton.
Wet weather venue: Lakeview School.
Venue 3: South Park, High St Masterton.
Wet weather venue: Hadlow School.
Alternative Lifestyle Programme: includes cooking, health and craft.
Venue 4: Wairarapa Community Centre,
170 Dixon Street Masterton.
Lunch provided at all venues. Children must have warm clothing, sports shoes and a drink bottle.
Registrations open 1 July and close 12 July 4.00pm.
Register at Masterton Safe and Healthy Community Council,
Reap House,
340 Queen Street, Masterton.
Numbers are limited. FREE entry to Indoor Pools, Genesis Recreation Centre on
Thursday 28 July 1.00pm to 4.00pm.
Entry to the pools limited to first 250
Enquiries can be made to MSHCC Phone 3788900
Reap House, 340 Queen Street, Masterton.
JULY SCHOOL HOLIDAY PROGRAMME REGISTRATION FORM
Please complete one form per child. Additional forms available at MSHCC, Reap House, 340 Queen Street, Masterton. Registrations to MSHCC.
My Child will attend Venue 1 2 3 4 (Circle the venue of your choice)
Name of Child……………………………………………………………………………………………….…..
Date of Birth……………………………………………………….
Address where child lives …………………………………………………………………………………
………………………………………………………………………………………………………………………...
Home phone number…………………………………………..
Childs Doctor…………………………………………………………………………………………………….
Doctors phone number………………………………………..
Any medical conditions (e.g. asthma, allergies, dietary)
………………………………………………………………………………………………………………………...
Parent/Caregivers Name…………………………………………………………………………………..
Parent/Caregivers Address……………………………………………………………………………….
………………………………………………………………………………………………………………………...
Phone numbers (cell, home, work)……………………………………………………………………
Emergency Contact…………………………………………………………………………………………...
Emergency Contact address………………………………………………………………………………
Emergency Contact phone numbers…………………………………………………………………..
Relationship to child………………………………………………………………………………………….
Other persons who may pick up my child…………………………………………………………..
Any other information you would like to provide……………………………………………….
………………………………………………………………………………………………………………………...
In the event of a medical emergency, I grant permission for my child to receive treatment:
Signed……………………………………………………………..
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