Kidzwish Foundation

New Dates for KidzWish Christmas Party 2010

Register Now!! - Please fill out the form below.

The KidzWish Christmas Party for 2010 will be held on Thursday 18th November 2010

To receive a registration form for 2010, contact Renee at The KidzWish Office on 1300 260 990

Or use the registration form below.

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				* Denotes required field
	Name of Parent/Guardian: *
	Address: *
	Suburb: *
	Postcode: *
	Email: *
	Phone: *
	Mobile Phone:
	Total number of carers who will attend the event: *
	Please enter the names and ages of the children you would like to register: *
	Do you require wheelchair access? *			Please Select Yes No
	Any other comments?
	Form verification *