Your Details
Complete the form below, and a member of our team will finalise your booking. Note, this form is for booking 1/2 days only.
Name
*
First Name
Last Name
E-mail
*
Mobile
*
Employer
*
Business Name (if required for invoicing purposes)
Booking Details
Please select the quantity and date(s) - Minimum 1 required.
Select Option
*
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( X )
1/2 Day Desk Hire @ coworking space
$
110.00
AUD
(1 x child)
No. of days
1
2
3
4
5
6
7
8
9
10
1/2 Day Desk Hire @ coworking space
$
165.00
AUD
(2 x children)
No. of days
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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91
92
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94
95
96
97
98
99
100
Subtotal
$
0.00
AUD
Tax
$
0.00
AUD
Total
$
0.00
AUD
Date 1
*
Date 2
Date 3
Child Details
For attending children only.
Child 1 Name
*
First Name
Last Name
Child 1 DOB
*
-
Day
-
Month
Year
Date
Child 2 Name
First Name
Last Name
Child 2 DOB
-
Day
-
Month
Year
Date
Immunisation up to date? Children must be up to date to attend.
*
Yes
No
If your child(ren) has any allergies, please note.
Does your child have any additional needs?
Emergency Contact
Name
*
First Name
Last Name
Mobile
*
Terms & Conditions
Please ensure you read and agree fully to our terms.
Signature
*
Signature date
*
SUBMIT
SUBMIT
Should be Empty: