Name: TEST ACCOUNT
SKU: 624-2-STRONG-TEENS-TERM-PROGRAM-1
Price: 1.00 AUD
Availability: InStock

Choose JULY HOLIDAY WORKSHOP

Choose TERM THREE Program

Little Ones (5-7years) - Saturdays 8.30am - 9.30am
Little Ones -(5-7 years) Saturdays 10.00am - 11.00am
Juniors (8-10 years) Tuesdays 3.30pm - 4.30pm
Juniors (8-10 years) Wednesdays 3.30pm - 4.30pm
Tweens (11-12 years) Tuesdays 5.00pm - 6.30pm
Teens (13-15 years) Wednesdays 5.00pm - 6.30pm

Child's Name *

First

Last

Child's DOB *

eg 01/01/2010

Child's Age *

Child's Medical Conditions (if any)

Parent/ Guardian Name *

First

Last

Phone *

Email *

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

In Case of Emergency 2nd Person Name *

First

Last

In Case of Emergency 2nd Person Phone Number *

How Did You Hear About Us?

T-Shirt Size (if applicable)

Total Amount

$ 0.00

Credit Card *

Card

Name on Card

Terms & Conditions *

TEST ACCOUNT