Holiday Workshop Registration

Halloween Workshop Registration

Register your child for our fun and engaging holiday workshop. Please complete all sections below.
Child's Full Name

First NameLast Name
Child's Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearundefined
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Notes or Special Requirements
Waiver and Consent
By participating in this workshop, I understand and agree that Elements Theatre Co. and Elements staff are not liable for injuries or accidents except in cases of gross negligence. I give permission for staff to seek medical treatment for my child in an emergency if I cannot be reached. I understand that photos and video may be taken during workshop activities and may be used for marketing and social media unless I choose not to allow my child's image to be shared.
Do you want to allow photos and videos of your child to be used for marketing and social media?
Parent/Guardian Agreement

Halloween Workshop (3hrs) *Half Price till Friday 9pm*

A free Raffle Ticket

$25.00 AUD Quantity

Halloween Raffle Ticket

$5.00 AUD Quantity

Subtotal

Tax

Total

Credit Card

Apple Pay

Halloween Workshop Registration