Young at HeART Booking – Splashout Art Studios

BOOKING - YOUNG AT heART

MUM'S FULL NAME

MUM'S MOBILE:

DAD'S FULL NAME

DAD'S MOBILE

STREET: *

SUBURB: *

POSTCODE: *

EMAIL ADDRESS: *

CHILD 1 - FULL NAME: *

CHILD 1 - AGE: *

CHILD 2 - FULL NAME:

CHILD 2 - AGE:

HEALTH/MEDICAL CONDITIONS

PAYMENT

Child 1: $160

Child 2: $160

Total Amount to Pay

PAYMENT METHOD

Please select ONE option

Electronic Funds Transfer - 735621 | 545035 | Splashout Studios

Credit Card - in person or over phone - 8296 3859

Paypal - you will be redirected to the Paypal website

PAYMENT TERMS:

Full payment is required on booking.
If paying by EFT, please use child's name as reference.

BOOKING TERMS:

Your child's booking is confirmed once you've submitted the form, paid the fee and have received an email confirmation from us.

I agree to the above PAYMENT & BOOKING TERMS *

Agree

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