Name of Child

Birthdate
January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993

Previous Holiday programme attended (if any):

Holiday Programme
All Aboard & Bears! In the Jungle & Under the Sea The Wonderful World of Eric Carle Writers' Workshop (Language Extension 1 & 2) The Wonderful World of Roald Dahl Language through Art Techno Kids Writers' Workshop (Language Extension 3 & 4) Into the Twilight Young Journalist Speech & Drama Public Speaking

Taman Tun Dr Ismail Centre

Taman Melawati Centre

Name of Parent/ Guardian


Email address


Daytime contact number