WHYALLA HOLIDAY CAMP - GOALKEEPING - January
Registration form
Name
*
First Name
Last Name
Email
*
example@example.com
Age Group
*
9-13 Year Old
14-18 Year Old
Dates
*
Friday 12th January (1:00pm - 4:30pm)
Player details
*
Has any player been identified as living with a disability?
*
Yes
No
Please specify
*
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Whyalla GK School Holiday Camp
Please purchase a ticket for every player registered.
$
55.00
AUD
Quantity
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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