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School Holiday Farmers Form
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INTAKE - School Holiday Farmers Form
School Holidays on the Farm is a whole lot of fun! Farm animals, horse riding, bush camp, nature crafts and more. Please ensure to fill out the new participant form if the participant will be AGENCY or NDIS funded for this program.
Participant Full Name
Date Of Birth
Address
Parent / Guardian Name
Phone Number
Emergency Contact - Name and Phone Number
Email
SUMMER SCHOOL HOLIDAYS 2026
Week 1
Days & Times Requesting :
Tuesday 6th January 10am - 3pm
Wednesday 7th January 10am - 3pm
Thursday 8th January 10am - 3pm
Friday 9th January 10am - 3pm
Week 2
Days and Times Requesting :
Tuesday 13th January 10am - 3pm
Wednesday 14th January 10am - 3pm
Thursday 15th January 10am - 3pm
Friday 16th January 10am - 3pm
Week 3
Days and Times Requesting :
Tuesday 20th January 10am - 3pm
Wednesday 21st January 10am - 3pm
Thursday 22nd January 10am - 3pm
Friday 23rd January 10am - 3pm
APRIL SCHOOL HOLIDAYS 2026
Week 1
Days and Times Requesting :
Tuesday 7th April 10am - 3pm
Wednesday 8th April 10am - 3pm
Thursday 9th April 10am - 3pm
Friday 10th April 10am - 3pm
Week 2
Days and Times Requesting :
Tuesday 14th April 10am - 3pm
Wednesday 15th 10am - 3pm
Thursday 16th 10am - 3pm
Friday 17th 10am - 3pm
JULY SCHOOL HOLIDAYS 2026
Week 1
Days and Times Requesting :
Tuesday 7th April 10am - 3pm
Wednesday 8th April 10am - 3pm
Thursday 9th April 10am - 3pm
Friday 10th April 10am - 3pm
Week 2
Days and Times Requesting :
Tuesday 14th April 10am - 3pm
Wednesday 15th 10am - 3pm
Thursday 16th 10am - 3pm
Friday 17th 10am - 3pm
SEPTEMBER SCHOOL HOLIDAYS 2026
Week 1
Days and Times Requesting :
Tuesday 22nd September 10am - 3pm
Wednesday 23rd September 10am - 3pm
Thursday 24th September 10am - 3pm
Friday 25th September 10am - 3pm
Week 2
Days and Times Requesting :
Tuesday 29th September 10am - 3pm
Wednesday 30th September 10am - 3pm
Thursday 1st October 10am - 3pm
Friday 2nd October 10am - 3pm
Are you an existing Fearless Farmhouse participant?
NDIS Funded?
Yes
No
NDIS Number
Group Participation Level
1:1 staff required to participate in a group activity
Capable to participate in group activity no assistance required
A little extra assistance required
Any additional needs or requirements
Does the participant require any medications? [If Yes, a medications form will be required and we will email this to you]
Yes
No
Submit
