Raffle Prize (Winners)

Raffle Prize (Winners)


Enter details below for Raffle Prize Winners and please remember to enter which Class or Camp the Raffle Prize is for.


*Once this form has successfully been received, Boogie Pumps HQ will send an email confirming your child’s place


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Is your class fully booked? If so please fill in this form to be added to the Waiting List.

Spaces Available

Which Class? *

Enter the name of the class you wish to attend.

Child’s Full Name(s) *

Child’s Age *


Educational School *

Child’s School Year *

For the term being booked

Medical Conditions or Educational Needs?

If yes, please provide any information we may find useful

Relation to Child *

Emergency Contact Number 1 *

Emergency Contact Number 2 *

Being Picked Up By *

Other Information

Privacy Policy

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