After School Art Class Booking Child 1: Name: (required) Age: (required) School: Child 2: Name: Age: School: Please select which day requested: WednesdayThursday 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