Plunket Babysitting Course for Teens

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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: *

Youth Surname: *

Youth Address: *

Youth's Cell phone: *

Youth Email address:

Age: *

Gender *

Parent/Guardian contact details:

First Name: *

Surname: *

Home phone:

Cell phone: *

email address: *

Any medical or other information staff should be aware of? *

nil if none

I will pay the $25 course fee online before the course date. (you will receive the account details in a conformation email) *

Yes

Required

I acknowledge all information supplied on this form is correct and truthful, and I have parental permission to attend this course. *

Yes

Required

Submit

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