Cooking Classes Form – Kids Details

Please Select Date *Please Select DateTuesday December 20, 2022Wednesday December 21, 2022Tuesday December 27, 2022Wednesday December 28, 2022Tuesday January 3, 2023Wednesday January 4, 2023Tuesday January 10, 2023Wednesday January 11, 2023Tuesday January 17, 2023Wednesday January 18, 2023Tuesday January 24, 2023Wednesday January 25, 2023

Select Time *Please Select Time10 AM12:30 PM

Parents Surname *

Parents First Name *

Mobile *

Email Address *

1st Kid Details:

1st Kid Surname *

1st Kid Name *

Any Allergies or dietary requirements? *

YesNo

Specify: *

Is your child anaphylactic? *

YesNo

Does your child require an EpiPen? *

YesNo

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 *

YesNo

2nd Kid Details

2nd Kid Surname *

2nd Kid Name *

2nd Kid: Any Allergies or dietary requirements? *

YesNo

For 2nd kid: Specify: *

2nd Kid: Is your child anaphylactic? *

YesNo

2nd Kid: Does your child require an EpiPen? *

YesNo

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 *

YesNo

3rd Kid Details

3rd Kid Surname *

3rd Kid Name *

3rd Kid: Any Allergies or dietary requirements? *

YesNo

For 3rd kid: Specify: *

3rd Kid: Is your child anaphylactic? *

YesNo

3rd Kid: Does your child require an EpiPen? *

YesNo

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? *

YesNo

Pay Now *

Pay

Name on Credit Card

Card No

Expiry Date *

CCV

The unit price is $40 per kid

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