Headlice Talks Registration

Registration form for attendance at our Bug Busting events at Gulf Harbour School, 65 Alec Craig Way, Gulf Harbour

First Name*
Last name*
Email*
Telephone number*
Number of people attending*
Choose the event you wish to attend*
- Tuesday 04-08-15 at 1.15pm
- Wednesday 14-08-15 at 7pm
Number of Bug Buster Kits pre ordered to pick up at talk
Please put me on the list for future events and news*
- Yes
- No