GLXY x Make Your Move Request Form

GLXY x Make Your Move Request Form

Please complete the form below to request the 4 week GLXY x Make Your Move Program in partnership with City of Greater Dandenong. All classes are subject to availability.
Participant 1 Full Name*
Participant 1 Date of Birth*
Participant 1 Class Booking (*Age as of the end of 2026)*
Mercury Class Times
Venus Class Times
Parent/Guardian Full Name*
Parent/Guardian Email*
Parent/Guardian Address*
Parent/Guardian Mobile Number*
What to bring to your first class:

- Please bring a water bottle

- Comfortable clothing that is easy to move around in (No belts, buckles or zips)
Please click here to read the GLXY Terms and Conditions.
Parent/Guardian Signature
Should be Empty: