REGISTRATION: Play in the Outdoor Classroom

REGISTRATION: Play in the Outdoor Classroom - Online Course

Fill in this form if you need an invoice or if you are registering more than one person.
Name of person to go on the Invoice *

First Name Last Name
Invoice email address: *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Name of person registering: *

First Name Last Name
Email of person registering: *
example@example.com
Are you registering more than one person *

No Yes
If YES Please enter the email address, first and last name of EACH additional person you are registering. Please note the email address must be unique to each person:
The cost of this online course is displayed on the website. If you apply a discount code below, you will recieve the discount on your invoice.
Promotion Code:
I confirm that payment will be made within 14 days or my access will be removed from the online course. *

YES NO
If you have any problems please email info@littlekiwisnatureplay.com or call 0221582113
Should be Empty: