Spike Prime Term 4 2025 - St John's Anglican Church Jville

Spike Prime

St John's Anglican Church Johnsonville

18 Bassett Road, Johnsonville

Term 4 2025

18th October - 6th December

Saturday 2:45 - 4:45pm

Child's Details

Student's Full Name:

First NameLast Name

Student's Gender:

Student's Birthday

Date

Student's School:

Parent / Caregiver Full Name:

First NameLast Name

Parent / Caregiver Phone Number

Format: (000) 000-0000.

Parent / Caregiver Email Address

example@example.com

Second Emergency Contact Person Name

First NameLast Name

Second Emergency Contact Person Phone :

Please enter a valid phone number.Format: (000) 000-0000.

How did you hear about us?

Whole Term Booking

Spike Prime Junior - Saturday 2:45 - 4:45pm ( 120 minutes ) - Whole Term - 8 Weeks

18th October - 6th December

$384.00 NZD

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Special Instructions

I agree not to send my child to a Bricks 4 Kidz Holiday Programme if presenting with cold or influenza-like symptoms.

I agree to my child receiving minor medical treatment, as considered necessary by first-aid certified staff. Furthermore, I agree to staff seeking further medical attention in the event of an emergency and I consent to treatment by medical authorities present.

I consent for use of any photographs or video recordings that are taken of my child while participating in our programs

Whole Term Booking*

Whole Term Booking