Online Form - Library - Tiny Wigglers

Event Date*

Spaces*

First Name*

Last Name*

Email*

Phone*

Post Code*

Participant age*

Photography

I give permission for photographs of the registered participant/s to be used by the Shire of Dardanup for publicity and promotional purposes.

Permission

I would like to receive future updates from Shire of Dardanup Events.

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