LeCoco Photo Registration Form

Explore & Develop Umina - October 13th-17th

Please fill out and REGISTER/PAY DEPOSIT PRIOR to Photo day - Registration is required to be filled out PER CHILD. By registering your child for photos, you are giving LeCoco Portraits permission to photograph your child and display in a private online photo gallery.
Parent Name*

First NameLast Name
E-mail*

Confirmation Email
Mobile Number *
used for SMS when your photo gallery is ready to view
Friday 17th
Butterfly RoomLadybird RoomBusy Bee RoomDragonfly RoomCaterpillar Room
Your CHILD'S NAME that attends the centre*

First NameLast Name
Yes - Yes I have more than 1 child at the centre and would like sibling photosNot Applicable
If YES to the above, name of SIBLING that attends the centre (to be separately registered)

First NameLast Name
Yes, I give permissionNo, thank you
Do you have any special requests ? ie jumper on/off, glasses on/off etc
Your deposit is pre-selected, the deposit amount is credited to your gallery purchase. Only registered children will be photographed.

Registration deposit required to have your child photographed$25.00AUD

Choose this option if you would like a variety of individual photos taken of your child. Pricing starts at $25.00. Registration required PER CHILD.

Total $0.00AUD

Credit Card

Apple Pay