CTGC Holiday Class Booking
Guardian #1 Name
*
First Name
Last Name
Guardian #1 Phone Number
*
Phone Number
Guardian #1 Email
*
example@example.com
Guardian #2 Name
First Name
Last Name
Guardian #2 Phone Number
Phone Number
Guardian #2 Email
example@example.com
Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
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Athlete Name
*
First Name
Last Name
Athlete Date of Birth
*
/
Day
/
Month
Year
Date of Birth
Athlete Gender
*
Male
Female
Athlete Medical/Other Important Information
Please provide any medical/other important information that may be relevant to the athlete's participation in trampoline class.
We will taking some photos/videos during class to put on our website/social media. Do you give permission for photos/videos of the athlete to appear on the CTGC website/social media/other promotional material?
*
Yes
No
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Holiday Classes (Week 1)
Monday 4th July 5:45pm - 7:00pm
Tuesday 5th July 5:45pm - 7:00pm
Holiday Classes (Week 2)
Monday 11th July 5:45pm - 7:00pm
Tuesday 12th July 5:45pm - 7:00pm
Thursday 14th July 5:45pm - 7:00pm
Holiday Classes (Week 3)
Monday 17th January 5:45pm - 7:00pm
Tuesday 18th January 5:45pm - 7:00pm
Thursday 20th January 5:45pm - 7:00pm
Holiday Classes (Week 4)
Monday 24th January 5:45pm - 7:00pm
Tuesday 25th January 5:45pm - 7:00pm
Thursday 27th January 5:45pm - 7:00pm
Cost
*
Total Cost
*
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