January Holiday Clinics 202

January Players Sports Holiday Clinics

Please complete the below form to register for the 2022 January Holiday Clinics!
Parent Name *

First Name Last Name
Parent Email *
example@example.com
Mobile Number *

Area Code Phone Number
Select all age groups you are entering your child/ren into today: *

Year 1-4 (Jan 5-8 Cancelled) Year 1-4 (January 10-14) Year 1-4 (January 17-21) Year 1-4 (January 24-28) Under 10 (January 5 & 6) Under 11 (January 6 & 7) Under 12 (January 10 & 11)

Under 10 Skill Development (5 & 6 January)

Sessions are 3:30-5:30pm.
How many children are you registering into the Under 10 Skill Development Clinic? *

1 2
Child's Name *

First Name Last Name
Dates Attending:

5 & 6 January - Under 10 Skill Development Clinic ($60)
Child's Name *

First Name Last Name
Dates Attending:

5 & 6 January - Under 10 Skill Development Clinic ($60)
Under 10 Total

Under 11 Skill Development (6 & 7 January)

Sessions are 3:30-5:30pm.
How many children are you registering into the Under 11 Skill Development Clinic? *

1 2
Child's Name *

First Name Last Name
Dates Attending:

6 & 7 January - Under 11 Skill Development Clinic ($60)
Child's Name *

First Name Last Name
Dates Attending:

6 & 7 January - Under 11 Skill Development Clinic ($60)
Under 11 Total

Under 12 Skill Development (10 & 11 January)

Sessions are 3:30-5:30pm.
How many children are you registering into the Under 12 Skill Development Clinic? *

1 2
Child's Name *

First Name Last Name
Dates Attending:

10 & 11 January - Under 12 Skill Development Clinic ($60)
Child's Name *

First Name Last Name
Dates Attending:

10 & 11 January - Under 12 Skill Development Clinic ($60)
Under 12 Total

Total Cost
Payment

Please note that your registration will only be confirmed once payment is received. Therefore, we strongly recommend payment is made via credit card to avoid disappointment.
Your total registration for Cornwall's Holiday Clinics comes to ${totalCost}.
Payment Method

Credit Card (Preferred Option) Online Transfer

Online Transfer
Thank you for your registration. We look forward to seeing you at the upcoming Holiday Clinics!

Following submission of this form, you will receive an email with payment details.

Total Cost

NZD Description

January Players Sports Holiday Clinics