Event Registration

Child Details

Name *

Age *

Street Address *

City

ZIP / Postal Code

Telephone Number *

Email

Parent Details

Name *

Telephone Number *

Email

Emergency Contact

Name *

Telephone Number *

Special Requirements *YesNoDoes the attendee require any special arrangements?

Please provide specific details of requirements (e.g. Accessibility, food requirements, etc.)

Allergies *YesNoDoes the attendee have any allergies?

Does the attendee require emergency medical device such as an EpiPen, asthma inhaler, etc?

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Important - please note that if the attendee requires an emergency device such as an EpiPen, asthma inhaler or anything else, they MUST bring it with them to the event along with any additional information on its use. To ensure their wellbeing and safety, they will NOT be permitted entry without it.

Additional InformationPlease provide any additional information that you think might be important for us to know about the attendee.

I hereby declare that all the information I have provided is true and accurate to the best of my knowledge.

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