Wheelie Kids OSHC / Vac Care Booking

School *

Address *

First Name *

Last Name *

Your E-mail Address *

Phone Number *

Date and Start Time *

/ Day / Month Year

at

: Hour Minutes

How many sessions *

1 2

Duration per session *

Do you require the inflatable track? (select one box only)

No Yes

CHOOSE HOW MANY VEHICLES AND RACE TIME

5 Vehicles

1 Hour $310 1.5 Hours $390 2 Hours $470

6 Vehicles

1 Hour $330 1.5 Hours $420 2 Hours $510

7 Vehicles

1 Hour $350 1.5 Hours $450 2 Hours $550

5 Vehicles with Inflatable Track

1.5 Hours $470 2 Hours $550

6 Vehicles with Inflatable Track

1.5 Hours $500 2 Hours $590

Venue *

Gym Enc. Tennis Court Outside Area Hall

Venue Surface *

Pavers Concrete Asphalt / Bitumen Timber Lino Synthetic Turf

Access to Power *

yes No

Generator required (Additional $55) *

Yes No

Approx number of Children attending *

Age group of Children attending *

2-3 years 4-6 years 7-10 years

Comments

Invoice Number:

________

Payments Received:

$ ________ $ ________ $ ________ $ ________