CHILD'S DETAILS *

First Name

Last Name

Days Attending *

Monday

Tuesday

Wednesday

Thursday

Friday

Does your child have any siblings attending? *

Yes

No

SIBLINGS DETAILS

Please note: Sibling discounts are available.

First Name

Last Name

Days Attending

Monday

Tuesday

Wednesday

Thursday

Friday

SIBLING 2

If more than one sibling, please enter name of second sibling.

First Name

Last Name

Individual Photos Only, Sibling Set Only, or BOTH? *

Individual Set Only

Sibling Set Only

Individual & Sibling Set

PARENT'S DETAILS *

First Name

Last Name

Consent *

I hereby consent to the staff of Ah La Luna to taking pictures of my child/children within the boundaries of the above mentioned childcare facility only. I also understand and agree that the use of such images will be strictly confined to private use only and will not be placed on any social media platforms or used for marketing purposes without my clear consent.

I agree to the Privacy Policy

Marketing Release *

Do you give permission for your child's portrait to be used for promotional purposes by Ah La Luna? This includes publishing your child's portrait / portraits on Ah La Luna's website (www.ahlaluna.com.au), Facebook page (Ah La Luna), Instagram (ahlaluna_photography) and printed promotional material. PLEASE NOTE: No personal details or identifying landmarks will be shared.

Yes

No