Bully Busters Sign Up – Bully Busters

Bully Buster Sign Up

"*" indicates required fields

Name*

First Last

Phone*

Please enter a contact number

Email*

Enter your email, this will be your username.

Relation to Child*

What is your relation to the child

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name*

First Last

Please enter the child’s first and last name

Date of Birth

Enter the child’s date of birth

Child's Age

Please enter the child’s age

Current School

Enter the school name that the child is currently attending

Current Grade

Enter the current grade that the child is in

Child's address*

Same as Parent/Gardian

Another Address

Is the child’s address the same as yours or different

Child's Own Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Problem Area*

What is the problem area that the child is experiencing? Please be specific.

Allergies

Please describe any allergies that the child might have in details

Medication

Please enter any medication that the child is on currently.

Parent Info

You can download our Parent Info to learn more about the course and about Marelé from the following link: BullyBuster_Parent_Info[1].pdf

Location*

Age Group*

4-8 December 2023
Time: 09:00-12:00
Age group: Grade R to 3
I2we Practice
2 Nerina St
Gardenia Park

Bully Busters Course – Bloemfontein*

Please choose you payment option:

Coupon

If you have received a discount coupon code then you may enter it here.

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