Learn to Play Registration

First name*
Last name*
Date of Birth
Medical Conditions/ Special notes
Gender*
- Male
- Female
Parent/Guardian Contact Name
Parent/Guardian Contact Number
Email*
Member *
Term 2 Skills & Development Sessions - $90
- Monday - 5:15pm-6:15pm [Ages 8-10]
- Wednesday - 4:30pm-5:30pm [Ages 7-17]
- Wednesday - 5:30pm-6:30pm [Ages 7-17]
- Friday - 4:15pm-5:15pm [Ages 7-11]
- Saturday - 9:00am-10:00am [Ages 7-11]
- Saturday - 10:00am-11:00am [Ages 7-16]
High Performance Term 2 - $120
- Wednesday - 5:30pm-6:30pm [Ages 11-17]
- Friday - 4:15pm-5:15pm [Ages 11-15]
- Saturday - 10:00am-11:00am [Ages 14-17]
Active Kids Voucher Number
Credit Card Name
Credit Card Number
Credit Card Expiry Date