Glenmore Centre Easter 2025 Playscheme

Thank you for signing your child up to the Glenmore Centre's Easter 2025 Playscheme

In order for child to attend, please fill in the registration form and medical information.

To make payment, please visit the Glenmore Centre and see Centre Manager Victoria Jacques. Your child's place is not confirmed until payment has been made.

Thank You
Glenmore Centre Play Scheme

Glenmore Easter 2025 Playscheme Registration & Medical Form

Child's Information

Parent or Guardian Information

Please tick each day your child will attend the Glenmore Playscheme.

Medical & Emergency Information

Please provide an alternative contact person in case of emergency. Emergency contacts must be over the age of 18 and capable of caring for the child if you are unavailable.
Please provide the address for your registered Doctor

Promotional Consent

We sometimes use photos and videos of your children taking part in the activities for promotional means for the Glenmore Centre Playscheme. Please indicate if you allow your children to be used on occasions.