Parents Name *

First Name

Last Name

Childs Name *

First Name

Last Name

Phone *

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Preferred day/time of class *

Choose the relevant day / time of class you are interested in

Puggle Juggle (4yr old Kinder): Wednesday – 9:30am-10:15am

Puggle Juggle (4yr old Kinder): Thursday – 9:30am-10:15am

Jumping Joeys (5-8yo): Wednesday – 4:00pm-4:50pm

Kooky Koalas (8-12yo): Wednesday – 5:00pm-6:00pm

Wacky Wombats Teen / Advanced (12yo+): Thursday – 5:30pm-7:00pm

Photography *

I allow Wacky Wombat Entertainment to take photos/footage of my child to be used in advertising campaigns that may include, social media platforms, internet advertisements, and on their website and websites of other affiliates.

Agree

Activities *

I understand that participation in the activity involves a certain degree of risk. I have carefully considered the risk involved and have given permission for myself or my child to participate in the activity. I understand that participation in the activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release Wacky Wombat Entertainment, the activity coordinators, and all employees, volunteers, related parties and other organisations associated with the activity from any and all claims or liability arising out of this participation. In case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult leader in charge to secure proper treatment.

Agree

Marketing *

I agree to my details being added to our database to receive our newsletter and any other marketing material relevant to Wacky Wombat.

Agree