CL&AG - Registration Form - Christmas Craft 2025

Child's Name*

Age*

Parent or Guardian Contact Name*

Parent or Guardian Contact Number*

OPTIONAL QUESTION: Email Address

Photo Consent - I give consent for images to be taken of my child and for these images to be used, modified, and distributed by the Shire of Carnarvon Youth Services.*

YesNo

OPTIONAL QUESTION: Are there any medical conditions or medication requirements we should be aware of? (e.g. food allergies, epilepsy, asthma, diabetes etc.)