Skip to content
Toggle Navigation
COURSES
BANKSTOWN CAMPUS
LIVERPOOL CAMPUS
BECOME AN IMAM
COURSE PROGRAMS
REVIEWS
OUR STATS
WHY CHOOSE US?
FAQ
PROJECTS
VI GROUP
VI MEDIA
VI ACADEMY
UMB
MORE
CONTACT
QUICK LINKS
SOCIAL MEDIA
ENQUIRE NOW
GALLERY
INSPIRATION
DONATE
Search for:
DONATE
Course Form End of Year
info
2025-12-16T19:22:39+11:00
Application form
(All Ages 4-12)
End of year holiday program
Application options
Book for yourself, your partner, AND children at the same time!
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
DOB
(Required)
Day
Month
Year
Date of birth
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Suburb
State
Post Code
Child 1
Enter all details for child 1
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
4
to
12
.
DOB
(Required)
Day
Month
Year
Date of birth
Attendance weeks
Which weeks did you want to attend?
Week 1 - (22 - 24 Dec)
Week 2 - (29 - 31 Dec)
Week 3 - (5 - 7 Jan)
Week 4 - (12 - 14 Jan)
Child Medical Information
(Required)
Add 2nd child
Add 2nd child
Child 2
Enter all details for child 2
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
4
to
12
.
DOB
(Required)
Day
Month
Year
Date of birth
Attendance weeks
Which weeks did you want to attend?
Week 1 - (22 - 24 Dec)
Week 2 - (29 - 31 Dec)
Week 3 - (5 - 7 Jan)
Week 4 - (12 - 14 Jan)
Child Medical Information
(Required)
Add 3rd child
Add 3rd child
Child 3
Enter all details for child 3
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
4
to
12
.
DOB
(Required)
Day
Month
Year
Date of birth
Attendance weeks
Which weeks did you want to attend?
Week 1 - (22 - 24 Dec)
Week 2 - (29 - 31 Dec)
Week 3 - (5 - 7 Jan)
Week 4 - (12 - 14 Jan)
Child Medical Information
(Required)
Add 4th child
Add 4th child
Child 4
Enter all details for child 4
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
4
to
12
.
DOB
(Required)
Day
Month
Year
Date of birth
Attendance weeks
Which weeks did you want to attend?
Week 1 - (22 - 24 Dec)
Week 2 - (29 - 31 Dec)
Week 3 - (5 - 7 Jan)
Week 4 - (12 - 14 Jan)
Child Medical Information
(Required)
Emergency Number
Press the BOOK NOW to book!
Emergency relationship
Choose a relative
Sibling
Mother
Father
Uncle
Aunt
Grandparent
Cousin
Guardian
Other
Emergency Name
First
Last
Emergency mobile
Emergency landline
Any Questions?
Do you want additional help?
No thanks
Yes, call me
Payment
End of year holiday program
Price:
Pay the deposit of $100 to secure your spot
Total
Δ
Page load link
Go to Top
Group
Academy
Media
Seekers
UMB