Child's Full Name*This field is required. * Required Field. Age*This field is required. Select an Option 4 5 6 * Required Field. Parent or Guardian Name*This field is required. * Required Field. Parent or Guardian Contact Phone*This field is required. * Required Field. Parent or Guardian Contact Email I give consent for photos to be taken and for these images to be used, modified, and distributed by the Shire of Carnarvon.*This field is required. YesNo * Required Field. OPTIONAL QUESTION: Does your child have any dietary preferences we should be aware of? (eg Gluten Free, Lactose Free, Vegan, etc) YesNo Details: Type the code from the image: Do not fill this textbox.
