Your Details
Complete the form below, and you booking will be made via booking platform Optix.
Name
*
First Name
Last Name
E-mail
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile
*
Employer
*
Business Name (if required for invoicing purposes)
Booking Details
Please select your Option, Quantity and Dates - Minimum 1 date required. Any future casual dates can be booked via the returning visitor form. You can book for 1 x child, or 2 x children. If you purchase more than 3 x days, please email required dates to hello@bubbadesk.com
Select Option
*
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( X )
Casual Day - Desk hire @ coworking space
$
175.00
AUD
1 x child
No. of Days
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Casual Day - Desk hire @ coworking space
$
262.50
AUD
2 x children
No. of Days
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Subtotal
$
0.00
AUD
Tax
$
0.00
AUD
Total
$
0.00
AUD
Day 1:
Day 2:
Day 3:
Date 1
*
-
Day
-
Month
Year
Date
Date 2
-
Day
-
Month
Year
Date
Date 3
-
Day
-
Month
Year
Date
Child Details
For attending children only. If you have a second child attending, please add their details.
Child 1 Name
*
First Name
Last Name
Child 1 DOB
*
-
Day
-
Month
Year
Date
Child 2 Name
First Name
Last Name
Child 1 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.
SUBMIT
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