Cooking Classes Form – Kids Details
Please Select Date
*
Please Select Date
Tuesday December 20, 2022
Wednesday December 21, 2022
Tuesday December 27, 2022
Wednesday December 28, 2022
Tuesday January 3, 2023
Wednesday January 4, 2023
Tuesday January 10, 2023
Wednesday January 11, 2023
Tuesday January 17, 2023
Wednesday January 18, 2023
Tuesday January 24, 2023
Wednesday January 25, 2023
Select Time
*
Please Select Time
10 AM
12:30 PM
Parents Surname
*
Parents First Name
*
Mobile
*
Email Address
*
1st Kid Details:
1st Kid Surname
*
1st Kid Name
*
Any Allergies or dietary requirements?
*
Yes
No
Specify:
*
Is your child anaphylactic?
*
Yes
No
Does your child require an EpiPen?
*
Yes
No
If your child requires an EpiPen. The parents must stay within our venue during the class and provide an EpiPen.
Did you want to enroll your 2nd Kid
*
Yes
No
2nd Kid Details
2nd Kid Surname
*
2nd Kid Name
*
2nd Kid: Any Allergies or dietary requirements?
*
Yes
No
For 2nd kid: Specify:
*
2nd Kid: Is your child anaphylactic?
*
Yes
No
2nd Kid: Does your child require an EpiPen?
*
Yes
No
If your child requires an EpiPen. The parents must stay within our venue during the class and provide an EpiPen.
Did you want to enroll your 3rd Kid
*
Yes
No
3rd Kid Details
3rd Kid Surname
*
3rd Kid Name
*
3rd Kid: Any Allergies or dietary requirements?
*
Yes
No
For 3rd kid: Specify:
*
3rd Kid: Is your child anaphylactic?
*
Yes
No
3rd Kid: Does your child require an EpiPen?
*
Yes
No
If your child requires an EpiPen. The parents must stay within our venue during the class and provide an EpiPen.
Payment
We would like to take a group photo of the cooking classes on our social media
Do you allow the Organica company to display photos of your kids on social media?
*
Yes
No
Pay Now
*
Pay
Name on Credit Card
Card No
Expiry Date
*
CCV
The unit price is $40 per kid
Please wait, files are uploading..
Submit