NICU Graduates Family Day Otago 2023!
Event Timing: 10am - 2pm, Saturday 18th November
Event Address: Elim Church, 67 Harrow Street, Dunedin, 9016 (free parking onsite)
Sign in to Google to save your progress. Learn more
Email *
NICU Graduates Family Day
Join us for a FREE day of fun! Celebrate with Pippity Pop, Rainbow Rosalind, Fun Faces Face Painting, Kat Anna Fiddle, spot prizes, sausage sizzle and cafe plus more. This form is to organise capacity and catering, you do not need to bring a copy to attend. 
Full Name *
Contact number
How many in your party plan to attend? *
One person
Ten people
I will bring a car (please note free spaces are first come, first served) *
Please add me to your Little Miracles Trust database for quarterly newsletters and local events. *
I confirm am an ex NICU family member, or carer, of an ex-NICU baby, or a NICU worker or clinician. I understand that this event is free to attendees, made possible by The Little Miracles Trust and Otago grant funding. Myself and my attendees will act responsibly during the event and treat others attending with kindness and compassion. I understand that there will be opportunity to partake in raffles and optional purchases at the event, but that these are not mandatory.  *
Required
On behalf of The Little Miracles Trust and Dunedin NICU, we look forward to hosting you on the day. Should you require any further information, please get in touch at the email address above. 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms