To register your place on my upcoming group course in September/October, 2017, to be held at Level 1, 15 Wilmot Street, Burnie, please complete the form below.

The course will be held in two instalments, each of two hours, on the following dates and times:-

  • September 26, from 4:00 pm – 6:00 pm.
  • October 3, from 4:00 pm – 6:00 pm.

You can either pay via:-

  • Direct deposit into my bank account.
  • Via Paypal. This includes provision to pay via credit card.

Further payment information including my bank account details, are provided after you fill in and submit the registration form below. If you prefer, I can email you a form which you can print out and complete and return to me either via post or scan it and email it to me. Any questions please ask.

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Important - please provide any details relevant to your baby

Do you or your baby have any known allergies?