Registration Form Name * First Name Last Name Email * Phone Number * Name and Age of Child/ren * Holiday Clinics * Age 4-5 (8th/9th Jan) Age 4-5 (15th/16th Jan) Age 6-7 (11th/12th Jan) Age 6-7 (18th/19th Jan) Age 8-9 (8th/9th Jan) Age 8-9 (15th/16th Jan) Age 10-12 (11th/12th Jan) Age 10-12 (18th/19th Jan)