Cool KIDZ Club
Registration Form

COOL KIDZ Club Registration

January 2026

Our school holiday programme will be from 19th January till 23rd January from 9:30 - 3:30 daily. Drop-offs can be as early as 9am!

Please complete the following Cool Kidz Club registration. We will provide both Morning Tea & Lunch or you can opted to bring your own!

Please note that helmets are now MANDATORY for all skaters in our programmes. Helmets & Skates are provided free of charge to hire!

Participant Details

First name*

Last name*

Birthday*

Day

Month

Year

Gender*

Ethnicity*

Parent / Caregiver Details

First name*

Last name*

Phone*

Email*

Address*

Questionnaire

Does your child have any learning or co-ordination impairments? If yes, explain.

Does you child have any Dietary Requirements?*

Does your child have any Allergies?*

How did you hear about this programme?*

Which days would you like to attend?*

Monday 19th January

Tuesday 20th January

Wednesday 21st January

Thursday 22nd January

Friday 23rd January

Payment

Select Plan*

1 Day COOL KIDZ Club$80

2 days COOL KIDZ Club$160

3 Days COOL KIDZ Club$240

4 Days COOL KIDZ Club$320

Full Week COOL KIDZ Club$360

NOTE: Once you click register, your child will be registered for learn to skate from the date you click the button, even if you don't proceed with payment. If you don't complete payment, we will send you an invoice. If you are completing this form after the start of term, you will be invoiced for all remaining lessons on your pass from the date you registered. By completing this form, you will be registered to our mailing list. If you don't wish to be added, please email us at marketing@dunedinicestadium.co.nz

If you have any questions, email info@icesportsdunedin.org.nz.