Active Kids Holiday Clinics

Child's Name (please use one form per child)*

First NameLast Name

Child's DOB

Date

Medical Conditions:

Parent/Guardian Contact*

First NameLast Name

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Tuesday - 7 April 2026Thursday - 9 April 2026Both

Select your clinics:

Active Kids - Tuesday, 7 April 2026

Cost for one child

$85.00AUD Quantity

Active Kids - Tuesday, 7 April 2026

Cost for addition child/ren in the same direct family

$75.00AUD Quantity

Active Kids - Thursday, 9 April 2026

Cost for one child

$85.00AUD Quantity

Active Kids - Thursdfay, 9 April 2026

Cost for additional child/ren in the same direct family

$75.00AUD Quantity

Total

$0.00AUD

Credit Card

Apple Pay

Afterpay

ACTIVE KIDS MULTISPORT CLONICS REGISTRATION FORM