Parents and Toddlers Club

PARENTS + TODDLERS CLUB

Sign Up Here!

Venue: Brabazon Community Centre
Day: Tuesdays (starts 6th November 2018)
Time: From 9.30 to 11.30am
Age: 0-4 years
Cost: FREE but limited spaces - first come basis

SORRY WE'RE FULL! PLEASE COMPLETE THE FORM BELOW TO BE PUT ON OUR WAITING LIST. SHOULD A SPACE/S BECOME AVAILABLE WE WILL BE IN TOUCH. THANK YOU.

Please note priority will be given to parents, grandparents, carers and guardians living in the Big Local area (Brabazon Estate, Redwood Estate & Harlech Gardens).

* Indicates required field

Main Parent/Guardian/Carer Name *

First

Last

Main Parent/Guardian/Carer Email *

Main Parent/Guardian/Carer Phone Number *

How Many Babies? *

1 baby 2 babies 3 or more babies

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Name *

First

Last

Emergency Contact Number *

Allergies/Medical Issues? (Parent, Guardian, Carer and Baby/Babies) *

Do you give us permission for us to take photos of you and your baby at the Parent and Toddler Club and share them on Heston West Big Local and Bounce Theatre's social media i.e. Facebook/Twitter and website? *

Yes No I would like more information before making a decision.

Would you be interested in volunteering for the Big Local? i.e. Supporting with the Parent and Toddler Club, community events, getting involved with local activities... *

Yes, I would love to get involved, sign me up! Maybe, sounds good but I would like more information. No, I'm not able to get involved right now but hopefully in the near future. Please keep me posted.

Thank you for completing the sign up form.

Please press SUBMIT (below) and we will be in touch to confirm your space.

Meanwhile if you would like more information about the Parents + Toddlers Club please contact Taz on 07840047771.

Submit

Parents + Toddlers ClubStarts Tuesday 6th November 2018 from 9.30 to 11.30am

Thank you for completing the sign up form.Please press SUBMIT (below) and we will be in touch to confirm your space.Meanwhile if you would like more information about the Parents + Toddlers Club please contact Taz on 07840047771.

Parents + Toddlers Club
Starts Tuesday 6th November 2018 from 9.30 to 11.30am

Thank you for completing the sign up form.

Please press SUBMIT (below) and we will be in touch to confirm your space.

Meanwhile if you would like more information about the Parents + Toddlers Club please contact Taz on 07840047771.