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Balmain Holiday Workshop
Enrolment form
Child 1
Fill out here to enroll your child
First Name *
Surname *
Suburb *
Postcode *
Date of Birth *
MM
/
DD
/
YYYY
Age at time of Workshop *
School your child attends *
Child 2
Fill out here if you have a second child
First Name
Surname
Suburb
Postcode
Date of Birth
MM
/
DD
/
YYYY
Age at time of Workshop
School your child attends
Parent/Guardian Name *
Relation to attendee(s) *
Contact Number *
Additional Contact Number
Email Address *
Second Contact Name
Relation to Attendee(s)
Contact Number
Additional Contact Number
Email Address
Does the attendee(s) have any allergies?
Does the attendee(s) have any medical conditions?
Does the attendee(s) carry any medication?
Which Week? *
Enrollment Options *
Four Day Enrollment
Clear selection
Three Day Enrollment
Clear selection
Creative Kids Voucher number (Please note that vouchers will only be redeemed if number/s are placed in the box below)
Does the attendee(s) have friends attending the workshop that they would like to be added to their group?
Does the attendee(s) have any specific requirements?
How did you find out about us? *
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