Where the rainbow ends

Rainbow Club Registration Form

Please enter all sections, print, sign and send.

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



Parents Signature


Date


Phone0448 300 024 Sammy

Fax02 9980 1928
AddressPO Box 995, Pennant Hills NSW 1715


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