Loading
RISE Holiday Programme Registration Form
Monday 19 January - Friday 30 January 2026
RISE HOLIDAY PROGRAMME
is run by Northcote Baptist Church for primary school aged children.
We aim to provide a diverse mix of entertainment within a safe, fun, learning environment.
Each day's programme will include a variety of fun activities based around our daily theme.
Note:
The availability of this holiday programme depends on the number of registrations.
Learn more at nbc.org.nz
Programme Details
SPECIAL PRICING: Register for Weeks 1 and 2 (9 days, 9-3pm) and pay only $405 or $450 for Extended Hours (9-5pm)!
Week 1: Monday 19 - Friday 23 January (5 days 9-3pm) $240
Week 2: Tuesday 27 - Friday 30 January (4 days, 9-3pm) $190
NB: Monday 26 January - Public Holiday - no programme
Extended Hours
: pick up daily at 5pm. Weeks 1 and 2 $450 total. Week 1 only: $265 / Week 2 only: $215.
Important Information
Sign in:
from 8.30am, Programme starts 9am.
Pick up:
3pm, or 5pm if you have registered your child/ren for Extended Hours.
Please bring: Morning Tea, Lunch and Afternoon Tea.
Family Information
PARENT / CAREGIVER'S NAME:
*
First name
Last name
Email
*
Mobile Number
*
Home Address
*
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Child's Details and Holiday Programme Options
CHILD'S NAME
*
First name
Last name
SPECIAL PRICING: Register for Weeks 1 and 2 (9 days, 9-3pm) and pay only $405! Extended Hours Weeks 1 and 2 (9 days, 9-5pm) only $450!
Please enter the dates and times you would like your child to attend.
Holiday Programme Wk 1 & 2 (9 days, 9-3pm) $405 / 2601
Holiday Programme Wk 1 & 2 EXTENDED DAYS (9 days, 9-5pm) $450 / 2601E
Holiday Programme Wk 1 (5 days, 9-3pm) $240 / 2601 W1
Holiday Programme Wk 1 EXTENDED DAYS (5 days, 9-5pm) $265 / 2601 W1E
Holiday Programme Wk 2 (4 days, 9-3pm) $190 / 2601 W2
Holiday Programme Wk 2 EXTENDED DAYS (4 days, 9-5pm) $215 / 2601 W2E
Holiday Programme - Casual Days only (9-5pm) $60/day / 2601 C1
Casual Days: If you only want to register your child for one or more casual days, please list the dates below or contact the NBC Office. Phone: 094807064 / email rise@nbc.org.nz
Please enter the dates you would like your child to attend.
Child's Additional Information
Current School Year
*
Eg: Year 3
Preschool
0
1
2
3
4
5
6
7
8
9
10
11
12
13
Date of Birth
*
Gender
*
Male
Female
Any allergies and/or medical information we need to be aware of?
Emergency Contact(s)
*
Please include at least one name and mobile number that we can contact if you are not available. Please complete this field for each child you are registering. Thanks
I give permission for my child's image to be used for RISE purposes
*
You are granting permission for your child to appear in photos or video prepared by RISE. This permission is for the purpose of sharing information about RISE. through printed brochures and/or online channels of Northcote Baptist Church.
No
Yes
Permission to Walk Home after the RISE Holiday Programme
Parents must give permission for their child to be able to walk home after RISE. This can be done via this registration form, or in writing to the RISE administrator.
We recommend that children 8 years old and younger should not walk home unless accompanied by an older sibling
. Parents must talk with the RISE Administrator if they are wanting a child 8 years old or younger to walk home.
Children with permission to walk home must let the RISE supervisor know that they are leaving the church property and are about to walk home. They must exit the building using the Sylvia Rd or Eban Ave doors, and NOT on to the car park.
View RISE Walking Home Policy here
RISE Walking Home Permission
*
YES, I give permission for my child to walk home. I confirm my child is 9 years (or older).
My child is 8 years (or younger). I will contact the RISE Administrator to discuss a safe walking home plan.
NO, my child does NOT have permission to walk home.
Permission to Walk Home - Child Information
I will instruct my child to notify the RISE Supervisor that they are leaving the church property to walk home and they must exit the building onto Sylvia Rd or Eban Ave pavement. Please tick the box to confirm.
Want to register another child?
Click the +Add another child button - below, right > .
+ Add another child
- Remove
RISE Holiday Programme Guidelines
Please read and note the following
Holiday Programme Fees
- Fees are to be paid before the programme starts
On Arrival
- Parents/Caregivers are responsible for the safety of their children in the carpark and around the church buildings before the programme starts.
- You are welcome to park in the church carpark. Please park in the correct spaces and keep watch for people walking through the carpark.
- Please go directly to the Lighthouse (Hall) to be signed in. All students are to be signed in before classes begin.
- Children may not leave the church buildings without adult supervision.
- If your child/children arrive late, please see the Supervisor in the Lighthouse to be signed in.
- If your child/children are sick and cannot attend, please contact the Supervisor before the programme starts.
During the Holiday Programme Sessions:
Children:
- Please respect all staff, volunteers and other children
- Please look after the church facilities at all times.
- Walk inside the main building and the carpark. Please, no running.
- Food to be eaten only in the Lighthouse
After Class:
- All children must be collected from inside the building by their parents or caregivers once their class has finished. No child will be allowed to leave the premises or enter the carpark by themselves, except children who have written permission from their parents to walk home.
- All children must be signed out before leaving RISE.
- Children are to be collected from the Lighthouse.
- Please advise the Supervisor if you are going to be late or if you have arranged for someone else to collect your child. Please provide the name and contact number of this person.
Walking Home After RISE:
- Parents must give permission for their child to be able to walk home after the holiday programme. This can be done via the registration form, or in writing to the RISE Administrator.
- Permission to walk home granted via the registration form allows the child to walk home after every holiday programme session.
- Children 9 years old and older may walk home after RISE with their parent’s written permission, or as indicated on the registration form.
- We recommend that children 8 years old and younger should not walk home unless accompanied by an older sibling. Parents must talk with the RISE Administrator if they are wanting a child 8 years old or younger to walk home.
- Children with permission to walk home must let the RISE Supervisor know that they are leaving the church property and are about to walk home. They must exit the building using the Sylvia Rd or Eban Ave doors, and NOT on to the car park.
- Parents may revoke their child’s permission to walk home in writing to the RISE administrator, with at least 24 hours’ notice before their child’s session.
- Parents may grant one off permission for their child to walk home in writing to the RISE administrator, with at least 24 hours’ notice before their child’s session. The RISE administrator must clarify whether this is one off permission or for the remainder of the holiday programme.
Other:
- Parents must notify the RISE Supervisor in writing if someone other than a parent will collect their child after RISE.
- Children are the responsibility of RISE while they are signed in. Once they have signed out, including to walk home, they are the responsibility of their parents / caregivers.
Questions/Issues:
- Parents/caregivers may be liable for replacement costs of equipment or property damaged by their child(ren).
- If you have any questions or concerns, please discuss with your child's teacher and/or the Supervisor.
- Email: rise@nbc.org.nz / susan@nbc.org.nz or Tel: 09480 7064
I have read and understood the RISE Guidelines above and will make sure my child is aware of these guidelines
.
*
Privacy Statement:
Thank you for registering. The purpose of collecting your information is to keep you up to date with the news and events in regards to Northcote Baptist Church RISE Programme. Should we host similar events, we may also inform you of those as well. If you no longer wish for us to hold your information you may contact us at any time.
Submit
Please check the highlighted fields
✔
✘