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
Phone
0448 300 024 Sammy
Fax
02 9980 1928
Address
PO 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.