Seekers Club Application Form

I want to join The Seeker's Club
and be sent cool information, invites to special events and be eligible for competitions.

* Indicates required field

Child's Name *

First

Last

Birth_Day *

Birth_Month *

Birth_Year *

Sex: *

Male Female

Child's Email if any *

By registering your child as a 'Seekers Club' member you agree to the personal information provided by you being stored and used by Refreshing Memories in accordance with the Refreshing Memories Privacy Policy.

Name of Guardian *

First

Last

Home Suburb *

Mobile Phone Number *

Home Phone Number *

Email *

Comment *

Submit

I want to join The Seeker's Cluband be sent cool information, invites to special events and be eligible for competitions.

I want to join The Seeker's Club
and be sent cool information, invites to special events and be eligible for competitions.