JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
January School Holiday Kids Fun Classes
Event Dates: January 14th, 16th, 21st & 23rd, 2020
Event Times: 9.30 - 11.30am
Event Address: 3/169 Beechboro Rd South, Bayswater
Club Contact: 9276 5028 or
info@starmites.com.au
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
2019 Star-Mites Members $15 per class | Non Members $30 per class
January Summer Fun Holiday Progeam
Parent / Guardian First Name
*
Your answer
Parent / Guardian Surname
*
Your answer
Contact Phone#
*
Your answer
Child's First Name
*
Your answer
Child's Surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Medical Conditions
*
Your answer
What days will you attend?
*
Tuesday 14th January | 9.30 - 11.30am
Thursday 16th January | 9.30 - 11.30am
Tuesday 21st January | 9.30 - 11.30am
Thursday 23rd January | 9.30 - 11.30am
Required
I understand that full payment is required upon arrival (minimum $10 eftpos)
*
Yes
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
