Name *

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Address *

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Suburb *

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Postcode *

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Parent/s Names (if applicable) *

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D.O.B (Juniors) *

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School Attended *

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Email *

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Home Phone Number

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Business Phone Number

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Mobile Phone Number

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Preferred Programs *

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Preferred Day *

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Preferred Time *

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Additional family member/s enrolled in coaching

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For further enquiries contact Simon Keeble


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0419 897 801

Fees are required at the start of term. Cash/cheques/internet transfer accepted. Make-up lessons will be arranged for wash-outs, heat-outs, or coach absence. Lessons missed through pupil absence will not be deducted from term fees but can be made up in other classes, subject to availability. $10 surcharge applies for payments received after week 2 of term. **10% extra family member discount applies.