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KCC Booking form
Ti Point Reptile Park - Leigh - Saturday 10 November 11am
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* Indicates required question
What are the name/s of the child/children attending?
*
Your answer
Are you a current KCC member?
*
Yes
No - join here:
https://secure.flo2cash.co.nz/donations/kccmembership/DonateSecure.aspx
What is the name of the caregiver attending the event?
*
Your answer
Please provide an emergency contact number just in case
*
Your answer
Which email address would you like us to send trip information to?
*
Your answer
How old are the children attending the trip?
*
Under 5 years old
5-7 years old
8-10 years old
Over 11 years old
Required
Do you give permission for any images of you and your child to be used in the following ways?
Only child's first name will be included
Only in Wild Things Magazine
Only in KCC hard copy brochures
On KCC's website, within Wild Things magazine and KCC promotional material
I don't give permission for any images of my child/ children to be used
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