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Lollipop's Playland Christchurch
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Supervised Holiday Care
BOOKING:: Supervised Holiday Care
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Book Your Supervised Holiday Care

After receiving your booking we will give you a call to finalise the details. Dates and times are not guaranteed until we confirm either by return email or telephone.

Child One:  
Name:
Age:
Address:
Telephone:
Medical Information:
Child Two:  
Name:
Age:
Address:
Telephone:
Medical Information:
   
 Parent / Caregiver Name:  
Address:
Telephone (Home):
Telephone (Work):
Telephone (Mob):
Fax:
Email:
Days & Dates Attending:
Please specify if attending
half days or full days.
Message: