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COVID-19 Updates

Information about Coronavirus and Kites Children’s Therapy services

Fitness Food & Fun: School Holiday Program

Main Content

Expression of interest form

School Hols Program Enrolment Form
Please note that forms marked with an asterisk (*) are required.
How many children would you like to enrol in the School Holiday Fitness Program? *

Child 1

Does your child have any allergies? *
I would like my child to attend: *

Child 2

Does your child have any allergies? *
I would like my child to attend: *

Child 3

Does your child have any allergies? *
I would like my child to attend: *

Child 4

Does your child have any allergies? *
I would like my child to attend: *

Contact Details

Address: *
Address:
Address line 1
Address line 2
Suburb / Town
State
Postcode
Do you have NDIS funding? *

Emergency contact details

Summary

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