Kids in NP activity day consent form (1)

Please complete before the commencement of the activity.

"*" indicates required fields

Which Activity Day will you be joining us for?*
Select which activity days you would like to join us for.
Guardian Name*
Emergency Contact*

Registration Details

Registration Options*

Payment

Name*
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Expiration Date
 

If you would prefer, you may pay via direct deposit to the account below, using your full name as the reference

BSB: 124 001
Acc: No: 10018942
Ref: Name

or contact our office on 0482 962 550 and pay over the phone at least 72 hours before the activity.

Consent*