Family Service Event Registration - Childhood Cancer Association

Event details

Clinpath Pathology have very generously offered the Childhood Cancer Association tickets to an upcoming movie screening of Hexed (PG) at the Palace Nova Prospect Cinema.

About the event:

Date: Sunday, 29th November
Location: Palace Nova Prospect | 98 Prospect Rd, Prospect
Arrival time: 2.30pm (film viewing starts at 3pm)

Special conditions:

Tickets are for immediate family only.
Tickets will be allocated on a first-in basis and to those who respond with all the required information (names of attendees and ages of any children).

Please note: This is not an event exclusive to the Childhood Cancer Association.

Family Contact details

Family name

Number of people included in this registration

Email

Phone

Adult Registration

Adults

(Maximum 2)

Children registration

Children

Image Consent

I acknowledge that images and/or recordings may be taken at the event by the event provider, organiser, sponsor, Childhood Cancer Association, or by other attendees and may be shared in print, digital, and social media communications.

By RSVP'ing to this event, I am indicating that I provide informed consent for images and/or recordings of me my family to be used in print, digital, and social media communications.

Do you give consent for photographs/visual footage of you and my family to be taken at the event and used for the abovementioned purposes?

Yes, I do give consent

Summary

<< This is the editable text box so we can include confirmation details (ticket allocation, collection...) >>