Thank you for taking the time to fill out this form, it is greatly appreciated.
Your Full Name *
Your Position *ParentGuardian
Your Child/rens names that you are giving permission for (actual names are never used in marketing) *
Centre Name (actual centre name is never used in marketing) *
E-Mail *
Contact Phone (optional)
Are you happy for the photo of your child/ren to be used in our online and print marketing? *YesNo
Notes: (If there is anything else you would like to tell us)
