Messy Moo Booking Form

Thank you for choosing to enroll your child with

Maggie Moo Music Albury Wodonga

with Farmer Neen

MIXED MOO on MONDAYs

Music & Movement

To book please complete the form below -

Note: if you are bringing an additional child please add their details to 'additional comments' & include their age.

Parents First Name*

Parents Last Name*

Mobile Phone*

Email*

Child's Name*

Child's Last Name*

Child's Date of Birth*

Session Time and Location*

MIXED MOO - Monday @ 10.30am Felltimber Community Centre Wod

Booking Type*

10 week block $100

5 week block for $55

casual booking $15

Casual Booking Date - please add the date or dates you wish to book for:

Additional Information (eg. Siblings, Allergies)

How did you hear about us?*

Maggie Moo Music may take photographs or video for use in publicity material. Please indicate whether you want you or your child's image to appear.*

Yes I give permission

No I do not give permission