Caringbah Final Booking

Your Details

Please include the details below of the primary user of BubbaDesk. You and your partner may attend simultaneously or alternate days. You will be prompted below to include your partner.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
E-mail*
Mobile*
Occupation*
Employer*
Business Name (if required for invoicing purposes)
BubbaDesk Start Date*

DayMonthYear
Date
Number of Days per Week. $145 per day. Each additional child $72.50 per day.*

1 Day Per Week2 Days Per Week3 Days Per Week4 Days Per Week5 Days Per Week
Preferred Days - please tick all options that suit, and we will do our best to accommodate.*

MondayTuesdayWednesdayThursdayFriday
Child Details

For attending children only.
Child 1 Name*

First NameLast Name
Child 1 DOB*

DayMonthYear
Date
Child 2 Name

First NameLast Name
Child 2 DOB

DayMonthYear
Date
Immunisation up to date? Children must be up to date to attend.*

YesNo
If your child(ren) has any allergies, please note.
Does your child have any additional needs?
You are welcome to share your membership with a partner, for no additional charge. You can alternate days, or you can both come together.
Will you be sharing this Membership with a partner? (No additional charge)*

NoYes
Partner full name*

First NameLast Name
Partner email*
example@example.com
Emergency Contact
Name*

First NameLast Name
Mobile*
Terms & Conditions

Please ensure you read and agree fully to our terms.
As a part of the Bubbadesk membership sign-up process, a small administrative fee/booking charge is applied to ensure that members are committed to utilising our services. In the event of a cancellation with a 30-day notice, a 100% refund can be issued.
Membership Admin Fee*
prevnext( X )
Admin Fee$100.00AUD

Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD
Should be Empty:

Your Details

Child Details

Emergency Contact

Terms & Conditions