The EnergyPlex – Entertainment centre for all ages

WHAT FULL WEEKS WOULD YOU LIKE TO REGISTER FOR?

Step 1.

Select the weeks you would like to book, or if you want to book single days only then skip ahead to step 2.

Select all of the days you would like to book.

Step 3.

Child'S NAME *

CHILD'S GENDER *

BOY

GIRL

CHILD'S DATE OF BIRTH *

Please note: children should be 6-11 years of age

IMPORTANT INFORMATION WE SHOULD KNOW (ALLERGIES, MEDICAL NEEDS, ETC.)

0 OF 250 MAX CHARACTERS

A phone number where grand(parent)/guardian can be reached at all times must be provided.