Crafty Kids Holiday Activities registration form

Children’s Names __________________________________________________

Address _____________________________________________________________________

Phone: ______________________ Email: ___________________________________________

Parent’s/Guardian Name_______________________________________________________

Parent’s/Guardian Contact Number____________________________________(during class time)

Date_________________________________

Parents/ Guardian Signature_________________________________________

$14.00 per child per session- Please write children’s names in the boxes and date of activity
Children under 5 years of age must be accompanied by an adult or child 10 years +

Payment Details: Full payment required upon booking. Payment and forms can be posted or dropped off at 20 Magnolia Gardens, Yangebup 6164

* I enclose cash/cheque (payable to Little Packs Craft Supplies) for $__________________
* Please debit my Master card Visa card Amex with the sum of $_______________

Card Number _____________________________________ Expiry Date _________ Ver______

Name on card _______________________________________ Signature ___________________

****No refunds will be given unless notified 24 hours in advance of session time*********