BOOKING DETAILS Pick-up location: Valkstone Primary 3:45 Tucker Rd Primary 3:50 Youth Centre 5 Exley Dr. Moorabbin 4 pm Other-please call to suggest Name of children attending Age of children Returns to 5 Exley Dr. Contact office for other request (if sufficent for additional dropoff) Responsible adult accompanying children (can be a friend's parent) Any food Allergies? *locations will only be offered if sufficient demand **For parents who want to bring toddlers, please contact Leah on 0425 844 050 or email [email protected] PERSONAL INFO Family Name Address First Name City, Post Code Mobile Home phone Email Email TICKETS Number Price Total $10 with advance booking X $10 Card Name: Card No: Exp: / To Pay Via Direct Debit/Cash/Cheque, please contact [email protected] or call 9553 3805 Your Booking is not CONFIRMED until PAYMENT is made. Your booking will be recorded and you will receive your tickets at the door. Have a fantastic Purim! This page uses 128 bit SSL encryption to keep your data secure.
