put a
S
mile
on your dial with art & craft-time.
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Each Session is Structured for Learning, Creativity and Fun.
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Registration Form
Child’s First Name:
Last Name:
Age: (dd/mm/yyyy)
Parent’s First Name:
Last Name:
Contact Phone Number:
Email Address:
Home Street Address:
Suburb:
State:
Select One
Queensland
New South Wales
ACT
Victoria
South Australia
Northern Territory
Western Australia
Postal code:
Session Time:
Tuesday 10:30am-12pm
Thursday 10:30am-12pm (Unavailable)
Register for:
Term 1
Term 2
Term 3
Term 4
Do You Give Consent for Your Child to Be Photographed for Use in Weekly Session Emails to Parents?
Select One
Yes
No
Does Your Child Have Allergies or Dietary requirements? If Yes, Please Specify
Where Did You Hear About the Program?
Select One
Social Media
Local Flyer
Newspaper/Magazine
Word of Mouth
Other
Any Other Comments to Add for Your Registration?
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Thank you for registering with us. We will contact you with confirmation details shortly.
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