ACG Parnell Summer Holiday Programme Enrolment Form
Please complete and return this form to QBSOFMMDPMMFHF#BDHFEV DPN by 11th November 2020 to participate in the Summer Holiday Programme
Student Information Student full name (Last/First) Emergency contact number
ACG Student ID (if applicable) NZ Address
Caregiver Email address
Current School
Caregiver phone number
Student Mobile number
Do you live in homestay
ᵼ Yes
ᵼNo
Student Doctor
SUMMER HOLIDAY PROGAMMES (tick the box to indicate which programme/s you would like your child to attend) Programme Name
Programme dates
Price
Academic Programme
Week 1: Monday 7—Friday 11 December 2020
Option 1 – Week 1 & 2
Week 2: Monday 14 —Friday 18 December 2020
Option 2 – Week 3 & 4
Week 3: Tuesday 5—Friday 8 January 2021
Option 3 – Week 1 to 4
Week 4: Monday 11—Friday 15 January 2021
ᵼ Option 1 - $600 ᵼ Option 2 - $600 ᵼ Option 3 - $1,150
Discovery Programme Hobbits, Hotpools and Glow worm Experience
Tuesday 5—Friday 8 January 2021
ᵼ $780
Monday 11 - Friday řŝ January 2021
ᵼ $550 for the full 5-day programme
Activities Programme x x x x x
Sheep & Strawberries Conservation & Volunteering Marae Visit Rainbows End West Coast Beaches
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Total amount: $
Bank details: Bank Account Name: ACG Schools Limited Bank Account Number: 03 0826 0168838 00 Swift Code: WPACNZ2W Bank: Westpac New Zealand Limited Bank Branch Address: Level 3, 16 Takutai Square, Auckland 1010, New Zealand Reference 6UVEFOU ,' 6UVEFOU 1BNF