Name: Kidz Life Holiday Club
Start: 2026-06-30T08:00:00+02:00
End: 2026-07-03T14:30:00+02:00
Location: Life Church

Kidz Life Holiday Club
Tuesday 30 June – Friday 3 July 2026
Check-in 08:00–09:00 · Check-out 14:00–14:30
R40 per day · R150 for the full club · Lunch included
Grades R to 7 · Registration closes 21 June

Please complete one form for your family — you can add up to four children below.

Please note that Holiday Club registrations closed on Sunday the 21st of June, and we have already put in all our bulk orders for catering. Although we would like to make room for your child, there will be extra expenses incurred to accommodate them.
If you would like to register your child, there will unfortunately be an additional fee of R50 for the whole week and R10 per day per child to cover above mentioned expenses.
The new pricing is reflected above

Parent / Guardian Details

Parent / Guardian Name(Required)

First Last

Relationship to Child(Required)

Email Address(Required)

Cellphone Number(Required)

Alternative Contact Number

Home Address(Required)

Street Address City / Town Province Postal Code Country

Children

How many children are you registering?(Required)

Extra child sections will appear below based on your answer.

Child 1 Details

Child 1 – Full Name(Required)

First Last

Child 1 – Date of Birth(Required)

Child 1 – Gender

Boy

Girl

Child 1 – Grade (2026)(Required)

Child 1 – Allergies (food, medication, insect, other)

Write 'None' if not applicable.

Child 1 – Chronic Medical Conditions

e.g. asthma, epilepsy, diabetes. Write 'None' if not applicable.

Child 1 – Current Medication & Dosage

Include anything staff may need to administer.

Child 1 – Dietary Requirements

Child 1 - Booking Option(Required)

Full Club - all 4 days

1 day

2 days

3 days

Child 1 – Days Attending

Tuesday 30 June

Wednesday 1 July

Thursday 2 July

Friday 3 July

Tick the days this child will attend. (Skip if you chose Full Club above.)

Child 2 Details

Child 2 – Full Name(Required)

First Last

Child 2 – Date of Birth(Required)

Child 2 – Gender

Boy

Girl

Child 2 – Grade (2026)(Required)

Child 2 – Allergies (food, medication, insect, other)

Write 'None' if not applicable.

Child 2 – Chronic Medical Conditions

e.g. asthma, epilepsy, diabetes. Write 'None' if not applicable.

Child 2 – Current Medication & Dosage

Include anything staff may need to administer.

Child 2 – Dietary Requirements

Child 2 - Booking Option(Required)

Full Club - all 4 days

1 day

2 days

3 days

Child 2 – Days Attending

Tuesday 30 June

Wednesday 1 July

Thursday 2 July

Friday 3 July

Tick the days this child will attend. (Skip if you chose Full Club above.)

Child 3 Details

Child 3 – Full Name(Required)

First Last

Child 3 – Date of Birth(Required)

Child 3 – Gender

Boy

Girl

Child 3 – Grade (2026)(Required)

Child 3 – Allergies (food, medication, insect, other)

Write 'None' if not applicable.

Child 3 – Chronic Medical Conditions

e.g. asthma, epilepsy, diabetes. Write 'None' if not applicable.

Child 3 – Current Medication & Dosage

Include anything staff may need to administer.

Child 3 – Dietary Requirements

Child 3 - Booking Option(Required)

Full Club - all 4 days

1 day

2 days

3 days

Child 3 – Days Attending

Tuesday 30 June

Wednesday 1 July

Thursday 2 July

Friday 3 July

Tick the days this child will attend. (Skip if you chose Full Club above.)

Child 4 Details

Child 4 – Full Name(Required)

First Last

Child 4 – Date of Birth(Required)

Child 4 – Gender

Boy

Girl

Child 4 – Grade (2026)(Required)

Child 4 – Allergies (food, medication, insect, other)

Write 'None' if not applicable.

Child 4 – Chronic Medical Conditions

e.g. asthma, epilepsy, diabetes. Write 'None' if not applicable.

Child 4 – Current Medication & Dosage

Include anything staff may need to administer.

Child 4 – Dietary Requirements

Child 4 - Booking Option(Required)

Full Club - all 4 days

1 day

2 days

3 days

Child 4 – Days Attending

Tuesday 30 June

Wednesday 1 July

Thursday 2 July

Friday 3 July

Tick the days this child will attend. (Skip if you chose Full Club above.)

Emergency Contact (other than parent above)

Emergency Contact Name(Required)

First Last

Relationship to Children(Required)

Emergency Contact Number(Required)

Medical Aid & Doctor

Medical Aid Scheme

Medical Aid Number

Family Doctor / GP Name & Number

Authorised Collection

Persons Authorised to Collect the Children

Full Name

Relationship

Contact Number

ID Number

Only the people listed here (plus the parent/guardian above) will be allowed to collect your children. Click + to add rows.

Consents & Authorisations

Photo & Media Consent(Required)

Yes, I consent to photos/videos of my child(ren) being used

No, I do not consent

For newsletters, social media and the programme's records.

Amount Due

Your total is calculated automatically from each child's booking option. After submitting, you'll be taken to PayFast to pay securely.

Total to Pay

Kidz Life Holiday Club