Form – Holiday Camp (DEBIT ONLY)

Summer Camp 6 July - 7 August

Child's Name *

Parent Name *

First

Last

Date of Birth *

Child must be 4 years by September 2026.

Childs Age *

I can confirm my child is 100% toilet trained and able to attend the bathroom without assistance. *

I confirm.

Emergency Details *

Emergency Contact Number

Mobile Number *

Email *

School Name *

Medical Condition Present *

Please list any medical conditions we need to be aware of such as asthma, allergies, injuries or other relevant medical history.

Summer Camp options

Please select full week or individual days. Please note on Fridays camp is from 9am-3pm only.

Week 5: 3-7 August

ALL DAYS FULLY BOOKED. INQUIRE VIA EMAIL

Cancellation & Refund Policy *

I have read and agreed to the Terms of Service
Our priority is to ensure that every child feels happy, safe, and included while enjoying their camp experience. To uphold this standard, we maintain a zero-tolerance policy for bullying in any form.

Click on Terms of Service to read

Publishing of Child’s Image: *

I GIVE permission
I DO NOT GIVE permission

I hereby give permission for my child’s photo to be used for promotional/marketing purposes on behalf of Little Star Fitness, including printed matter and Little Star Fitness website and Facebook Page.

DISCLAIMER: Please read the disclaimer below and click agree to continue. *

I AGREE

I hereby I wish that my child participate in activities offered by Little Star Fitness NL (LSF). During the activities at LSF, participants will be involved in some or all of the following: sporting activities, dance, arts, trapeze, aerial silks, floor gymnastics, and other similar activities. I attest that my child is physically fit and has no medical conditions. I agree to inform the instructor(s) or staff of Little Star Fitness NL of any physical limitations, or injuries, and I take full responsibility for nondisclosure. I knowingly, voluntarily and expressly waive any claim I may have against Little Star Fitness NL the coaches for injury or damages that my child may sustain as a result of participating in these activities.

WAIVER: *

I have read the above release waiver of liability and fully understand its contents. By signing below, I voluntarily agree to its contents and agree to the terms and conditions stated above.

Signature *

Clear Signature

Name

Summer Camp options

Week 5: 3-7 August

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