2025 Term 1 School Holiday Clinics

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Details

Fri 11 Apr 2025 9:00AM — Mon 14 Apr 2025 3:00PM
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Barwon Valley Activity Centre, 1 Barwon Heads Rd, Belmont VIC 3216

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First name*

Last name*

Phone number*

Email address*

Address*

Date of birth*

Medical Conditions* Max. 255 characters

Allergies* Max. 255 characters

Emergency Contact #1 Name*

Emergency Contact #1 Number*

Emergency Contact #2 Name*

Emergency Contact #2 Number*

Friday 11th April

$80.00 ea

Monday 14th April

$80.00 ea

Test

FREE

Expired

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*