Little Wheel Werks - Myfave Aug

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Your name please?* This field is required.
First Name
Last Name
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Phone number* This field is required.
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E-mail* This field is required.
example@example.com
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Learner's name(s)Who is learning?
First Student
Second Student
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Learner's age(s)* This field is required.As of current year
e.g. 5 & 8 (Please indicate a comma if more than one student)
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Lesson type* This field is required.
[$50] 45-Min In-Line Skating Trial Class for 1 Person
[$50] 30-Minute Bike Balancing Trial Class for 1 Child
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Location (Inline)* This field is required.Please select the teaching centre
East Coast Park (Saturday)
West Coast Park (Sunday)
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Location (Bike)* This field is required.Please select the teaching centre
East Coast Park (Saturday)
West Coast Park (Sunday)
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East Coast Park (Inline-Skating)* This field is required.Inline-Skating
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East Coast Park (Bike)* This field is required.Bike-Balancing
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West Coast Park (Inline)* This field is required.Inline-Skating
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West Coast Park (Bike)* This field is required.Bike-Balancing
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Is there anything we need to know prior class? (Optional)Please indicate if student requires special assistance
e.g. Past Injury, Medical History, Special Needs, Skin Condition, Allergies
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Do you have your own training essential??* This field is required.For Hygiene purposes & due to Covid-19 measures, we advise learners to have a personal set (Wrist, Knee, Elbow, Helmet) - Select what you have
Helmet
Wrist, Elbow & Knee Pads
Rollerblades
Balancebike
Purchase NEW ($32) - wrist, knee & elbow pads
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Where did you find us from?* This field is required.
Facebook
Instagram
TikTok
Referral
Others
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Who was your referral?
Eg. Jamie (Charlie's mom)
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Terms & Condition* This field is required.note: Dates requested are not confirmed until a CONFIRMATION message is sent to you via SMS/WhatsApp/Email. Our team will get in touch with you soon! | "LIke" us @ www.facebook.com/littlewheelwerks | TERMS & CONDITION I acknowledge and agree that participating in physical activities comes with inherent risks, therefore students must be responsible for their own safety during urban. | All safety equipment should be worn always during the event. | I undertake to ensure strict compliance with all rules, regulations and instructions given during the Event to minimize risk factors. | Whilst reasonable precaution will be taken by Little Wheel Werks to ensure student’s safety. | I understand that as a participant I take part at my own risk. Little Wheel Werks and their instructors will not be held liable for any injury arising from participating in this event. | I understand that pictures and videos will be taken during event and may be used in social media platform as well as marketing materials. | Little Wheel Werks reserves the rights to reject students who are deemed unfit for class (if undeclared upon registration).
By pressing "Submit" , I AGREE to the above Terms & Conditions
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