Muddy Puddles - Program enrolment school holiday

Thanks for enrolling in this Muddy Puddles program. Our small group intensive-therapy programs are held during school holidays.

If your child is not currently registered with Muddy Puddles, please complete a New Client Registration form before enrolling in a program.

Name of client (please complete a separate form for each child) *

First Name Last Name

Name of person requesting enrolment *

First Name Last Name

Relationship to client: *

Email: *

example@example.com

Program: *

PROGRAM ENROLMENT