Parent/ guardian name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Number of children attending ?
Please Select
1
2
3
4
5
6
7
8
Child/s name and age/s attending:
Does your child have any allergies or dietary requirements?
PAYMENT – $50 PER CHILDPlease transfer payment to:Account Name: fundraising account BSB: 013711Account No: 668286301: Reference: Child’s name
Submit
Should be Empty: