Penguin Nippers Come & Try Registration Form
Please fill out the form to register your attendance for the Come & Try day/s.
Name of Participant
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Full name of Parent/Guardian of participant
*
First Name
Last Name
Email Address
*
example@example.com
I would like to receive an email with more information about Nippers and the Come & Try Session
*
Which days will you attend?
*
Please Select
Sunday 9th November
Sunday 23rd November
Both Come & Try days
Please provide any medical information about your child that is necessary for Penguin S.L.S.C. to know in order to provide a safe 'Come & Try Nippers' session for all participants.
I understand that a parent/guardian is required to stay on the beach whilst my child is participating in this event
*
Register Now
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