Plunket Babysitting Course for Teens
Sign up now for Plunket Babysitting Couse for Teens 9am to 3pm on Tuesday 17th July 2018 at 111 Seaview Road, New Brighton
Youth's info:
Youth First Name: *
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Youth Surname: *
Your answer
Youth Address: *
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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 $25 course fee online before the course date. (you will receive the account details in a conformation email) *
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I acknowledge all information supplied on this form is correct and truthful, and I have parental permission to attend this course. *
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