Parent/Guardian names: (required)
Your email (required)
Please confirm your email (required)
Would you like to receive follow up emails?
Is this your first 'Sparky and Shady' event?
How exactly did you find out about 'Sparky and Shady'?
(This will help us reach more parents like you!)
Date of birth
Year at school
Aspirations for your child?
(What are you hoping to gain from the program?)
2nd Child's Details (if applicable)
Date of Birth
3rd Child's Details (if applicable)
Do you or your child/ren have any special requirements?
(e.g. physical access, allergies, intolerances, additional needs or other concerns?)
Do you and your child give permission for approved photos to be posted on:
Social Media (e.g. FB, Instagram)?
Print media (e.g. Newspaper)?
NB If filled out online a typed signature is fantastic.