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?

Other
Do you give permission for YOU (the mother) to have photos taken for the purpose of promoting future events held by Good To Grow?

Other
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?
Would you like to claim the $10 bring a friend discount?
How did you hear about us?

Other
Should be Empty:

Registration Form