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Your first Name*

Last Name*

Your Email Address*

Confirm Email Address*

Phone Number*

Phone number 2 (in case of emergency)*

Your Child's First Name*

Your Child's Last Name*

Child's Date of Birth (dd/mm/yyyy)*

Child's Gender Child's Gender Boy Girl

Which class do you want your child to participate to? Which class do you want your child to participate to? Teeny Toes - 2 to 4 yo - (9.00-9.45am) 4 to 7 year old - (3.30-4.30pm) 8 to 11 year old - (4.30-5.30pm)

Do you want to register a second child? Do you want to register a second child? Yes, please No, thank you

Child 2 First Name*

Child 2 Last Name*

Child 2 Date of Birth (dd/mm/yyyy)*

Child 2 Gender Child 2 Gender Boy Girl

Which class do you want your child 2 to participate to? Which class do you want your child 2 to participate to? Teeny Toes - 2 to 4yo - (9.00-9.45am) 4 to 7 year old - (3.30-4.30pm) 8 to 11 year old - (4.30-5.30pm)

Select your location: Select your location: Bald Hills, QLD (Wednesday) Rochedale, QLD (Tuesday)

Does any of the children registered above have any particular condition (medical or physical) that we should be aware of?

Free Trial & Newsletter Free Trial & Newsletter I would like to receive LVBA newsletter and events updates