ACG Sunderland_School Holiday Programme Application Form 2020

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ACG Sunderland Summer Holiday Programme Enrolment Form Please complete and return this form to Sunderland@acgedu.com 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 Learning Classes with local day trips Option 1 – Week 1 & 2 Option 2 – Week 3 & 4 Option 3 – Week 1 to 4

Programme dates

Price

Week 1: Monday 7—Friday 11 December 2020

ᵼ Option 1 - $480

Week 2: Monday 14 —Friday 18 December 2020 ᵼ Option 2 - $480 Week 3: Tuesday 5—Friday 8 January 2021 Week 4: Monday 11—Friday 15 January 2021

Rotorua, Taupo, and Coromandel

ᵼ Option 3 - $910

ᵼ $500

Hobbits, Hotpools and Glow worm Experience ᵼ $780 Tuesday 5—Friday 8 January 2021 Discovery Programme

x x x x x

Sheep & Strawberries Conservation & Volunteering Marae Visit Rainbows End West Coast Beaches

Monday 11 - Friday 15 January 2021

ᵼ $550 for the full 5-day programme ,ODMVEFT USBOTQPSUBUJPO HVJEF 6UVEFOU UP QSPWJEF PXO MVODIFT

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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