Youth Holiday Class Booking Form

Youth Holiday Classes Booking Form

Please fill in the form below. We will be in touch with you soon.

Holiday Classes are $35 per class, and include shoes and chalk hire during class. Holiday Classes do not include general entry for free climb time.

These 3 hour sessions will be run on the following days and timeslots:

O’Connor

Days	Timeslots Available
Monday, Wednesday & Friday	9am – 12pm, 1pm-4pm

Osborne Park & Willetton

Days	Timeslots Available
Tuesdays & Thursdays	9am – 12pm, 1pm-4pm
Saturday	9am – 12pm

If you are looking for Youth Holiday Membership, please go into one of our venues. This can only be purchased at the Front Desk.

$40 for a week's membership, attend as often as you like during this time
Includes shoe and chalk hire
Parent/guardian required to supervise during general climbing time

*IMPORTANT!: You will be booked and pay for any days you select, so please only pick the days your child will definitely attend *

Name of Child*

First NameLast Name
Date of Birth of Child (9 - 17 years old. Under 9s Check Out Our Pebbles Club)*

DayMonthYear
Which Weeks Would You Like To Book?*

Week 1 (16.12.24 - 22.12.24)Week 2 (23.12.24 - 29.12.24)Week 3 (30.12.24 - 5.1.25)Week 4 (6.1.25 - 12.1.25)Week 5 (13.1.25 - 19.1.25)Week 6 (20.1.25 - 26.1.25)Week 7 (27.1.25 - 2.2.25
Which Facility Would You Like To Book?*
Which Timeslot Would You Like In Week 1?

Tuesday 9am-12pmTuesday 1pm-4pmThursday 9am-12pmThursday 1pm-4pmSaturday 9am-12pm
Which Timeslot Would You Like In Week 2?

Tuesday 9am-12pmTuesday 1pm-4pmThursday 9am-12pm (Not Running Due To Boxing Day)Thursday 1pm-4pm (Not Running Due To Boxing Day)Saturday 9am-12pm
Which Timeslot Would You Like In Week 3?

Tuesday 9am-12pmTuesday 1pm-4pmThursday 9am-12pmThursday 1pm-4pmSaturday 9am-12pm
Which Timeslot Would You Like In Week 4?

Tuesday 9am-12pmTuesday 1pm-4pmThursday 9am-12pmThursday 1pm-4pmSaturday 9am-12pm
Which Timeslot Would You Like In Week 5?

Tuesday 9am-12pmTuesday 1pm-4pmThursday 9am-12pmThursday 1pm-4pmSaturday 9am-12pm
Which Timeslot Would You Like In Week 6?

Tuesday 9am-12pmTuesday 1pm-4pmThursday 9am-12pmThursday 1pm-4pmSaturday 9am-12pm
Which Timeslot Would You Like In Week 7?

Tuesday 9am-12pmTuesday 1pm-4pmThursday 9am-12pmThursday 1pm-4pmSaturday 9am-12pm
Which Timeslot Would You Like In Week 1?

Monday 9am-12pmMonday 1pm-4pmWednesday 9am-12pmWednesday 1pm-4pmFriday 9am-12pmFriday 1pm-4pm
Which Timeslot Would You Like In Week 2?

Monday 9am-12pmMonday 1pm-4pmWednesday 9am-12pm (not running due to xmas day)Wednesday 1pm-4pm (not running due to xmas day)Friday 9am-12pmFriday 1pm-4pm
Which Timeslot Would You Like In Week 3?

Monday 9am-12pmMonday 1pm-4pmWednesday 9am-12pm (not running due to new years day)Wednesday 1pm-4pm (not running due to new years day)Friday 9am-12pmFriday 1pm-4pm
Which Timeslot Would You Like In Week 4?

Monday 9am-12pmMonday 1pm-4pmWednesday 9am-12pmWednesday 1pm-4pmFriday 9am-12pmFriday 1pm-4pm
Which Timeslot Would You Like In Week 5?

Monday 9am-12pmMonday 1pm-4pmWednesday 9am-12pmWednesday 1pm-4pmFriday 9am-12pmFriday 1pm-4pm
Which Timeslot Would You Like In Week 6?

Monday 9am-12pmMonday 1pm-4pmWednesday 9am-12pmWednesday 1pm-4pmFriday 9am-12pmFriday 1pm-4pm
Which Timeslot Would You Like In Week 7?

Monday 9am-12pmMonday 1pm-4pmWednesday 9am-12pmWednesday 1pm-4pmFriday 9am-12pmFriday 1pm-4pm
Parent Details
Name*

First NameLast Name
Contact Number*
E-mail*
example@example.com
How did you hear about our programs?
Thank you for registering your interest!

We will be in touch closer to the start of term to confirm your booking for the Portside Holiday Classes.
Total

My Products*

AUDTotal amount for classes

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Youth Holiday Classes Booking Form