School Holiday Program – Steampunk Art Workshop – Queanbeyan

Are you aged between 10 and 15 years old? Come and join us for Steam Punk Art Workshop. Materials and light lunch will be provided.

The workshop is being held on Wednesday 16 July from 10am - 1pm at the Axis Youth Centre.

Child's given and family names *

Child's date of birth *

Address *

Street address *

Suburb/Town/Locality *

Does your child have any dietary requirements or allergies? *

YesNo

Dietary requirements or allergies

Does your child have any support needs or or medical requirements that would be helpful for us to know about? *

YesNo

Tell us about any support needs or medical requirements that would be helpful for us to know about.

How is your child getting home at the end of the session? *

They will be picked upThey will make their own way home

Parent/Guardian (Given and Family Names) *

Parent/Guardian email address *

Parent/Guardian mobile number *

I give permission for the child listed above to participate in the Queanbeyan-Palerang Regional Council’s Winter School Holiday Program, under the guidance of Council’s Community Development staff. *

I give permission for Queanbeyan-Palerang Regional Council to use photographs/videos including the child/young person under my care in documents produced by and for the Council.

Parent/Guardian signature *

Draw signature|Type signatureClear