GIRLS Single Day School Holiday Clinic | Mt Gambier - Casadio Park
Registration form
Personal Information
Person Responsible for the child
Name
*
First Name
Last Name
Email
*
example@example.com
Age Group
*
8-10 Year Old
11-15 Year Old
Select Day:
Thursday 10th October (9:30 - 2:00pm)
Player details
*
Has any player been identified as living with a disability?
*
Yes
No
Please specify
*
Back
Next
My Products - 9:30 - 2:00pm
*
prev
next
( X )
Age Selection
$
50.00
AUD
Quantity
Price
Age 8-10
1
2
3
4
$
50.00
AUD
Age 11-15
1
2
3
4
$
75.00
AUD
Item subtotal:
$
0.00
AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit registration
Should be Empty: