West Auckland Parents Centre
Parent Education Enrolment Form
Please note we regretfully are not able to offer Baby & You or Moving & Munching in 2017.
Please check the course code is correct (refer to website)
Partner/Support Person Name (if attending)
Ages of Children
Seperate ages by comma. eg 1,3,5
Current member of West Auckland Parents Centre
How did you hear about West Auckland Parents Centre
Word of Mouth
How would you like to pay?
Credit Card (incurs additional processing fee, ~3%)
The information collected on this form will only be used for the purposes of course evaluation, membership records or in the collection of PCNZ statistics, in which you will not be identified
Do Not Fill This Out