Bookings for both weeks of Time to Shine will close on Tuesday 6 May.
Parent/Guardian First Name *
Parent/Guardian Last Name *
Email *
Phone *
Student's First Name *
Student's Last Name *
Student's Current School *
Sessions
Please select your top three preferences for each week.
If you are not able to attend both weeks, please only fill out your preferences for the date you are available. If you would like to be considered for activities in both weeks, you need to complete preferences for both.
Day 1 - Wednesday 14 May (3:15pm - 4:15pm)
Wednesday 14 May - Preference 1
Wednesday 14 May - Preference 1
Team Game Challenges
Escape the Room Challenge
Story Mapping & Games
Cooking
Wednesday 14 May - Preference 2
Wednesday 14 May - Preference 2
Team Game Challenges
Escape the Room Challenge
Story Mapping & Games
Cooking
Wednesday 14 May - Preference 3
Wednesday 14 May - Preference 3
Team Game Challenges
Escape the Room Challenge
Story Mapping & Games
Cooking
Day 2 - Wednesday 21 May (3:15pm - 4:15pm)
Wednesday 21 May - Preference 1
Wednesday 21 May - Preference 1
Hands on Science Experiments
Keyring Creation
Love to Read
Visual Art Creations
Wednesday 21 May - Preference 2
Wednesday 21 May - Preference 2
Hands on Science Experiments
Keyring Creation
Love to Read
Visual Art Creations
Wednesday 21 May - Preference 3
Wednesday 21 May - Preference 3
Hands on Science Experiments
Keyring Creation
Love to Read
Visual Art Creations
Parent/Carer Permission *
List any allergies (food allergy information is essential for cooking session) *
Please list any other medical issues or additional learning needs which need to be considered during activities Copy *
Emergency Contact 1 Name *
Emergency Contact 1 - Phone Number *
Emergency Contact 2 Name *
Emergency Contact 2 - Phone Number *
