MAY Mother Daughter Day Registration

Registration Form

Self Care & Wellbeing Mother Daughter Day in May
Daughter’s Details *

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Daughter’s Email*
example@example.com
Does your daughter have any dietary requirments, medical conditions or allergies?*
Is there anything else we should know about your daughter to help her feel comfortable on the day?
Mother’s Details*

First NameLast Name
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Do you have any dietary requirements, medical conditions or allergies?*
Is there anything else we should know about you to make you feel comfortable on the day?
Do you give permission for your daughter to have photos taken of her for the purpose of promoting future events held by Good To Grow?*

I give permission for photos to be taken of my daughterI do NOT give permission for photos to be taken of my daughterOther
Do you give permission for YOU (the mother) to have photos taken for the purpose of promoting future events held by Good To Grow?*

I give permission for photos to be taken of myselfI do NOT give permission for photos to be taken of myselfOther
Payment is $150 for BOTH you and your daughter for the day. $125 for concession. Lunch and morning tea are included. We will send you an email shortly with payment and event information.
$10 bring a friend discount.
Payment to be made prior to secure your spot in the event
Would you like to claim the concession price of $125?*

YesNo
Would you like to claim the $10 bring a friend discount?

YesNo
How did you hear about us?*

Social mediaFriends/familyFlyersOther
Should be Empty:

Registration Form

Payment is $150 for BOTH you and your daughter for the day. $125 for concession. Lunch and morning tea are included. We will send you an email shortly with payment and event information.

$10 bring a friend discount.

Payment to be made prior to secure your spot in the event