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Buds n Blooms Registration Form 2021
Please complete this form to attend one or more sessions of Buds n Blooms at Piney Lakes Environmental Education Centre, Winthrop.
Buds n Blooms takes place every fortnight, with a break over the school holidays.
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Email
*
Your email
Your First Name
*
Your answer
Surname
*
Your answer
Mobile Number
Your answer
Address (suburb only)
*
Your answer
Age
18-24
25-35
35-50
50-75
75 +
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Emergency Contact - Name
*
Your answer
Emergency Contact - phone number
*
Your answer
Are there other attendees (child/elder) in your care
Yes
No
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