2019 January Holiday Program Registration Lilydale Lake Lillydale

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Please fill in all details below to register for the  2019 January Holiday Program at Lilydale Lake, Lillydale

Special Price!!  - $15 per participant 

Participant Details:

 

Parent/Guardian Details

Emergency Contact Details

Photographs of Activity

Terms and Conditions

Payment is via Paypal - either using a Paypal account or by entering your credit card details.  Once you have selected "register and pay now (via paypal)" below, you will be redirected to the Paypal window.