Details of Child to be enrolled in the Birthday Club

(use seperate form for each child)

Childs First Name (required)

Childs Surname (required)

Childs DOB (required)

Childs Gender (required)

Address

Email (required)

Details of person enrolling the child

First Name (required)

Surname (required)

Email (required)

WIZO Group (required)

Phone (required)

Names to be used in greeting