Active Kidz Term 3 2025 Registration Form

Active Kidz Registration Form

Term 3 2025 - Monday 21st July to Saturday 20th September 2025 (9 week term)
Child's Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Date
Child's Gender*

MaleFemale
Do you wish to enrol an additional child in Active Kidz?*

YesNo
Name of additional child

First NameLast Name
Birth date of additional child

DayMonthYear
Date
Gender of additional child

MaleFemale

My Products*

Monday Bilby 9:30am to 10amAges 1.5 - 2.5 yrs ..............................................

$38.00AUD Quantity

Monday Platypus 10:15am to 11amAges 2.5 - 4 yrs .........................................

$38.00AUD Quantity

Monday Kookaburra 11:15am to 12pmAges 4 - 6 yrs .......................................

$38.00AUD Quantity

Saturday Bilby 9:30am to 10amAges 1.5 - 2.5 yrs ..............................................

$69.00AUD Quantity

Saturday Platypus 10:15am to 11amAges 2.5 - 4 yrs .............................................

$69.00AUD Quantity

Saturday Kookaburra 11:15am to 12pmKookaburra Ages 4 - 6 yrs ...........................................

$69.00AUD Quantity

Starter PackT-shirt and Water Bottle

$25.00AUD

Enter coupon

Subtotal

$0.00AUD

Shipping

$0.00AUD

Total

$0.00AUD

Parents/Guardian's Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number*
Please enter a valid phone number.
Additional information
I agree to the below terms and conditions

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Terms and Condititions Classes are non refundable. Classes must be used within the duration of the term. If your enrolled child is unable to attend your booked class please contact us and we can book an alternative class for you. No refund or reduction in the price shall be provided where the enrolled child does not attend an alternative class. In consideration of the Organisation allowing me to participate, I agree: a) To assume all risks arising out of, associated with or related to my participation; b) To be solely responsible for any injury, loss or damage that I might sustain while participating; and c) To release the Organisation from liability for any and all claims, demands, actions and costs that might arise out of my participating.
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Active Kidz Registration Form