Pizza in the Hut - Luna Park

Pizza in the Hut / Luna Park Thursday October 13, 2022
All Bar-Bat classes are invited for Pizza in the hut (Cooper Sukkah) and Luna Park trip on Thursday 13th October.
Drop off at the Cooper home 1150 Malvern Rd Malvern at 4:30pm and pick up from Luna Park at 8pm.
Welcome to bring a friend, they will just need to also register below.

Reuvi & Menucha
Child Name*

First Name Last Name
Child Phone Number*

Area Code Phone Number
Parents Full Name*

First Name Last Name
E-mail*
Parents Phone Number*

Area Code Phone Number
Authority for my child to attend the Lina Park
By completing this form I agree and understand the following: My child has my permission to attend the excursion listed: I am listed on the child's Enrolment form (or above) as a Parent of Authorised Nominee. I have read all of the details provided by the service and understand that I can access the Excursion Risk Assessment on OWNA. The contact details, including all emergency contact details, listed on my child's Enrolment Form (or above) are up-to-date.
Please tick to show consent*

Consent Given as per the above
Please charge card below*

$25

Payment*

Credit Card

Billing Address

Street Address

Street Address Line 2

Suburb

State

Post Code

Country

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Pizza in the Hut / Luna Park Thursday October 13, 2022