Kidz Course Booking Form

Book a Course

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Book a Kidz Course

Thank you for booking a Kidz Course!

Once we receive your booking an invoice for payment will be sent. Your booking is confirmed once payment is received
Some classes have a minimum number of participants to proceed.
Classes such as Wonder Kids are a therapy based class and an intake form will need to be reviewed by a therapist to ensure the class is appropriate for your child.

PARENT’S FULL NAME *

PARENT'S EMAIL *

PARENT’S MOBILE NUMBER *

CHILD’S FULL NAME *

CHILD'S PREFERRED FIRST NAME * e.g. Timmy, Becca

CHILD'S DATE OF BIRTH *

CHILD'S YEAR LEVEL *

CHILD'S GENDER *

CHILD'S SCHOOL *

YOUR BILLING ADDRESS *

Course Required*

Comments

I would like to receive email updates from Kidz Therapy about latest courses and opportunities to support my child:*

Yes please

No thanks

Phone:

(09) 849 4232

Our phone is attended 9.00am to 4.00pm weekdays. Please leave a clear, detailed message if your call goes to voicemail. You will be called back as soon as possible.

Email:

admin@kidztherapy.co.nz

Address:

642 New North Road, Morningside

Auckland, 1022

P.O. Box 77-064, Mt Albert

Auckland, 1025