Where the rainbow ends

Registration Form
Enter all sections, print and send.

Childs name:
Childs age:
Childs DOB:
Parent names:
Address:
Phone/fax:
Mobile:

Parents Signature:


 


 
Date:

Ph: 0448 300 024 Sammy
fax: 9980-1928
address: PO Box 995, Pennant Hills NSW 1715

Send the form plus a cheque for $7.00/ child for Rainbow Club Membership.
Contact 'Where The Rainbow Ends!' for alternate payment options.