Name Adult *

First Name

Last Name

Name under 18

If required

First Name

Last Name

Phone *

(###)

###

####

I give permission for myself or my child to be photographed *

Images may be used for grant funding applications, websites and social media promotions

Yes

No

I agree to the terms and conditions of the class and have read the waiver: https://playeveryday.com.au/waiver *

If you do not agree to the waiver you will be unable to participate, please get in touch if you have any further questions

I agee

Disagree (unable to participate)