Belrose Physie 2026 Enquiry Form
Student Name
First Name
Middle Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Age as of 31/08/2026
*
Address
Street Number
Street Name
Suburb
State
Postcode
E-mail
*
Parents/Guardians Names
Not required for over 18s
Phone Number(s)
*
Please provide both parents contact numbers if under 18
Class Selection- please choose 1 class to trial
*
MON 13-1st Year Seniors (5.30pm)
MON 2nd Year, Novice & Open Seniors (6.30pm)
MON Ladies (7.30pm)
WED PRE-SCHOOL (3.30pm)
WED 5-8s (4pm)
WED 9-12s (5pm)
SAT 5-8s (10.30am)
SAT 9-12s (12noon)
SAT Ladies (1pm)
SAT 2nd Year, Novice & Open Seniors (2.30pm)
SAT 13-1st Years (3.30pm)
How did you hear about us?
*
Friend
Current member
Social Media
Other
Submit Form
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