SUMMER HOLIDAY PROGRAMS WITH THE Y

PROGRAM TIMETABLE

WHAT	DATE + TIME	WHERE + DETAILS
FISHING	TUE 20th 1pm - 4pm	Lake Esmond - MEET AT MAIN FORESHORE
COLLAGE	WED 21st 1pm - 4pm	The Y Ballarat at The LOFT @ Barkly Square 25 – 39 Barkly Street Ballarat, Vic, 3350
ULTIMATE FRISBEE	WED 21st 10am - 12pm	@ Doug Dean Stadium Nandiriog Drive Delacombe
PLANTING	THURS 22nd 1pm - 4pm	@ Barkly Square 25 – 39 Barkly Street Ballarat, Vic, 3350

FISHING TUE 20th 1pm - 4pm (Lake Esmond)
FISHING TUE 13th 1pm - 4pm (Lake Wendouree)
FRISBEE WED 14th 10am-12pm
FRISBEE WED 21st 10am-12pm
COLLAGE WED 14th 1pm - 4pm
PLANTING THURS 22nd 1pm - 4pm
COLLAGE WED 21st 1pm - 4pm
PLANTING THURS 15th 1pm - 4pm
Attendee Information

Please fill name and contact information of attendees.
Your Name*

First NameLast Name
Email Address*
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Contact Number*

Area CodePhone Number
EMERGENCY CONTACT

In case anything happens to you we can call this person!
Emergency Contact Name
Emergency Contact Number

Area CodePhone Number
PHOTO CONSENT

I give full consent for photos to be taken of me throughout the program to be used for The Y's future program advertising including social media.I do not want any photos taken of me.
Signature of participant or parent/guardian if under 18

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