ACG Strathallan_School Holiday Programme Application Form 2020

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ACG Strathallan Summer Holiday Programme Enrolment Form Please complete and return this form to Strathallan@acgedu.com by 1st 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

Pre-Christmas Programme

Tuesday 8 —Friday 18 December 2020

ᵼ $750

New Year Programme

Tuesday 5 —Friday 15 January 2021

ᵼ $750

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 Student ID & Student Name


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