After School Art Class Booking

    Child 1:
    Name:
    (required)
    Age:
    (required)
    School:

    Child 2:
    Name:

    Age:

    School:

    Please select which day requested:

    Payment must be received before this booking is confirmed
    Payment Method:
    Direct Deposit (Name: Hodco, bsb: 062 184, Acc: 11377111) please use your child's name as referenceCredit Card (please call 02 9130 4855 with your credit card details)


    Name of Parent/Guardian:
    (required)
    Mobile:
    (required)
    Email:
    (required)
    Home Address:
    (required)
    Other Emergency Contact:
    Name:
    (required)
    Mobile:
    (required)
    Authorised to collect child in addition to Parent/Guardian name above:
    Name 1:

    Relationship:

    Additional Information:
    Any allergies or Medical conditions or other details we should know about:

    I give permission for my child/ren to be photographed during the camp. I understand that pictures may be used in our Facebook page in the future:
    YESNO