Easter Clinic Booking form
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Please select the day and time that suits you for the appointment. Morning sessions start from 9:30am. Afternoon sessions start from 1:00pm. We will contact you to confirm the exact day/time of your appointment.
Child's name
If between the years, list the year level your child will be in at the start of the next school year.
Areas of concern
Parent/Guardian Name
Permission & Agreement
I understand that confirmation of appointment can be done by email, phone call or SMS according to my contact details above.
Appointments are not confirmed by submitting this form.
Blossom is not responsible for not receiving of messages and missing out on appointment offer. Please check your junk mails.