What's on?

What's on...

* Christmas Picnic Day 2011 - Sunday 11th December 2011
Download the form or book on line below

Christmas Picnic Day Form 2011
File Size:	74 kb
File Type:	pdf

Download File

Christmas Picnic Day Booking Form

Can you make it? *

Yes - I will be attending the Christmas Picnic Day Yes - I will be attending and I will be providing my own gift for Santa to give to my child No - I cannot attend the Christmas Picnic Day but I would like to become a member

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Telephone *

Email *

Number of Adults *

Number of Children 10 years and under *

Child 1 Name *

Child 1 Date of Birth *

Gender of Child 1 *

Child 2 Name *

Child 2 Date of Birth *

Gender of Child 2 *

Child 3 Name *

Child 3 Date of Birth *

Gender of Child 3 *

Number of Children over 10 Years of Age *

Lazio Juniors Club (Aust) Inc.

What's on...

Christmas Picnic Day Booking Form