Karaoke Dance Party | Platypus Lodge Coop

Registration Form

The karaoke dance party is a FREE event held on the fourth Thursday of each month.

By completing this form you agree to take responsibility for any participants and carers registered by you.

Total number attending

Participant name

Carer name/s (if support is required)

Mobile

Please write the best contact mobile number in +61 format

Email

I acknowledge that:

All attendees must be over 18 years old and photo ID will be required.

All care but no responsibility is taken by the organisers. Participation in this FREE program is at participants' own risk.

Numbers are strictly limited. Registration is essential. No walk-ins allowed.

The attendees listed above give consent to use their photographs for promotional purposes.

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