Family Flip out Night has a cost of $12. Payment can be made by PayPal (recommend) which will be processed after submitting this form. You can also pay by cash, select the cash payment option at the bottom of the sign up form and then pay Jenny. 

Please fill out a form for every person in your family who will be "jumping".

CP Kids is administered by Changepoint on behalf of the Changepoint Trust. Changepoint is committed to fulfilling its obligations under the Privacy Act 1993. The information is being collected for the purpose of enabling you to participate in the life and activities of Changepoint.

The intended recipients of this information are the staff, and approved volunteers of Changepoint. You have right of access to, and correction of, personal information supplied to, and held, by Changepoint. Please contact us if you have any questions.

By submitting this form, you hereby agree to the above terms and conditions

Please tick the box below once you have read and agreed with the Health & Safety Document outlined in our website.