REGISTRATION FORM
Term 1 2026
Name of Parent
*
First Name
Last Name
Name of Child
*
First Name
Last Name
Parent Email
*
example@example.com
Date of Birth of Child
*
Day/Month/Year
Contact Number
*
Please enter a valid phone number.
Select Your Childs Squad
*
Please Select
Junior Squad
Recreation Squad
Adrenaline Squad
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Book Your Junior Classes
Junior squad classes are one session or two sessions per week.
Term 1 - Select One or Two Classes
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Book Your Recreation Classes
Recreation squad classes are one session or two sessions per week.
Term 1 Belmont - Select One or Two Classes
Term 1 Cockburn - Select One or Two Classes
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Book Your Adrenaline Classes
Adrenaline squad classes are one session or two sessions per week.
Term 1 - Select One or Two Classes
Term 1 Cockburn - Select One or Two Classes
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Youth Squad Payment
Please only select one of the payments below that is from the squad selection you have made.
Select accordingly.
*
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( X )
Junior Squad - One Session Per Week (Term 1)
$
335.00
AUD
Junior Squad - Two Sessions Per Week (Term 1)
$
445.00
AUD
Recreation Squad - One Session Per Week (Term 1)
$
355.00
AUD
Recreation Squad - Two Sessions Per Week (Term 1)
$
465.00
AUD
Adrenaline Squad - One Session Per Week (Term 1)
$
375.00
AUD
Adrenaline Squad - Two Sessions Per Week (Term 1)
$
485.00
AUD
Youth Squad Shirt
$
35.00
AUD
Size
Youth 8
Youth 10
Youth 12
Youth 14
Youth 16
Adult XS
Adult S
Adult M
Credit Card
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