Wacky Workshops Private Classes Registration Form

Wacky Workshops Private Classes Registration Form

Complete the form below and submit or call Tami on 0402732859
Name*

First NameLast Name
Gender*
Age*
Date of Birth*
School*
Grade*
Parent/carer name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
Emergency contact and phone number*

NamePhone Number
Preferred date/time of class - please confirm availability by calling the number above
CREATIVE KIDS VOUCHER NUMBER (applicable to private classes only) or DISCOUNT CODE
Medical conditions/special needs
Special interests/talents of student
How did you hear about Wacky Workshops?

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Terms and Conditions: A $100 deposit is required to hold the spot at least two weeks before the block commences and the balance must be paid before the first lesson. I understand that late pick up when the class is finished could incur an extra fee. From time to time we take photos during the workshops of students and artwork. These photos are used for Wacky Workshops social media and website. We never disclose the names of the students in the photos. If you would prefer we don't take photos, please inform us in writing to wackyworkshops1@gmail.com. I understand that all care will be taken but agree to hold Wacky Workshops harmless for any personal injuries that may occur during the workshop. (Please see the full terms and conditions at https://gleefulgrandiva.com/wacky-workshops-terms-and-conditions/ and read through carefully before submitting this form). I have read through the Wacky Workshops Terms and Conditions and agree with them.*

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Date
To secure your spot, please fill in your Creative Kids voucher number in the space above or direct deposit to Wacky Workshops, BSB: 062640, Account No: 10215645
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