HRCC - Teen Gym Heroes Term 3 2025

Teen Gym Heroes Enrolment Form
Program Details

Term 3 starts Wednesday 20 August (6 week program)

Fees: $83.50 (non members)
Participants Details:
Name*

Given NameSurname
Date of Birth*

MonthDayYear
Date
Age*
Gender*
Parent/Guardian Details:
Full Name*
Mobile Number*
Email*
example@example.com
Secondary Contact Name
Mobile Number
Please note, this program is for a maximum of 6 participants. Your child's place in this program is not guaranteed until you receive a confirmation from HRCC.
Brief Health History:
Does your child suffer from any of the following conditions? (please tick all that apply)*

AsthmaLung ConditionAutismHeart conditionAllergiesDiabetesPhysical DisabilityBlood DisorderEpilepsyADHDOther:None of the above
Do you consent to your child being photographed for promotional purposes?*

NoYes
Where did you hear about the Teen Gym Heroes progam? (tick all that apply)*

Word of MouthSocial MediaWhen visiting HRCCMy child has participated previouslyOther
FEES
- Full fees must be paid prior to the first session
- Fees cannot be transferred to other families.
- Fees can be transferred to subsequent terms subject to a doctor’s certificate being provided.
MISSED SESSIONS AND CANCELLATIONS
- Make-up sessions are not available
- Please ring the Centre and advise us if you will not be attending your session
- NO CREDITS OR REFUNDS WILL BE GIVEN IN LIEU OF OR FOR MISSED SESSIONS OR CANCELLATIONS.
Should be Empty:

Teen Gym Heroes Enrolment Form