SOCCERWISE® runs holiday programs during every school holiday break!

SOCCERWISE® offers half day (morning or afternoon) or full day booking options.

CURRENT HOLIDAY PROGRAMS

 School Holiday Program (January 2012 Registration Form)

INFORMATION REQUEST / BOOKING FORM **
* PARENT'S NAME:
* PARENT'S SURNAME:
* EMAIL:
* PHONE:
* POSTCODE:
* CHILD'S NAME (CHILD 1):
* DATE OF BIRTH (CHILD 1):	day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month 1 2 3 4 5 6 7 8 9 10 11 12 year 2000200120022003200420052006200720082009
CHILD'S NAME (CHILD 2):
DATE OF BIRTH (CHILD 2):	day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month 1 2 3 4 5 6 7 8 9 10 11 12 year 2000200120022003200420052006200720082009
* DOES YOUR CHILD SUFFER ANY MEDICAL CONDITIONS OR INJURIES SOCCERWISE® NEED TO BE AWARE OF?:	YES    NO
PLEASE OUTLINE MEDICAL CONDITIONS / INJURIES :
* I AM INTERESTED IN:	JANUARY HOLIDAY PROGRAM APRIL HOLIDAY PROGRAM JULY HOLIDAY PROGRAM SEPTEMBER HOLIDAY PROGRAM
COMMENTS:
* BY SUBMITTING THIS FORM YOU HAVE READ AND AGREED TO SOCCERWISE® SCHOOL HOLIDAY PROGRAM TERMS AND CONDITIONS PDF
	(Please tick)
** PLEASE NOTE THIS IS A BOOKING FORM AND NOT A BOOKING CONFIRMATION. YOU WILL RECEIVE A BOOKING CONFIRMATION EMAIL FROM SOCCERWISE® AS SOON AS YOUR REQUEST HAS BEEN CONFIRMED. *REQUIRED FIELDS