Complete this form to register your interest to attend Primal Play for Kids classes in the school holidays when a new location is found, dates/times are set and bookings are open
*
indicates required
Name:
Email:
Comment:
Your Email Address
*
Your First Name
*
Your Last Name
*
Your Phone Number
*
How did you hear about this? Choose from list
*
Primal Influence Facebook page
Primal Influence Instagram
Primal Influence Kids Facebook page
Primal Influence Kids Instagram
Newsletter
Word of Mouth / Referral
Facebook group
Internet search
Classes I'm interested in (please choose ONE)
*
The 45 min classes
The 30min ASD classes
Both
