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Plunket Babysitting Course for Teens
Email address *
You are signing up for the Teen Babysitting course on Wednesday 18th December from 9am to 3pm, Grace Vineyard Beach Campus, 111 Seaview Road, New Brighton. Please complete the form below and share it with your friends. Any queries, email: parenting@yat.org.nz
Youth Info
Youth First Name: *
Your answer
Youth Surname: *
Your answer
Youth Address: *
Your answer
Youth's Cell phone: *
Your answer
Youth Email address:
Your answer
Age: *
Gender *
Parent/Guardian contact details:
First Name: *
Your answer
Surname: *
Your answer
Home phone:
Your answer
Cell phone: *
Your answer
email address: *
Your answer
Any medical or other information staff should be aware of? *
nil if none
Your answer
I will pay the $30 course fee online before the course date. (you will receive the bank account details in a confirmation email) *
Required
I acknowledge all information supplied on this form is correct and truthful, and I have parental permission to attend this course. *
Required
A copy of your responses will be emailed to the address you provided.
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