Holiday Program Enrolment

Name: …………………………..............…

Address: ………………………………......

………..……………………………….……..

Phone: ……….…………………….………

Age: ……………..

Email: ……………………………………..

School: ………………………………........

Would you like to be on our mailing list or Email list: Yes/No

Please circle the Program you prefer:

Program 1 Gym Fun Tues September 23rd 10.30am-12.30pm

Program 2 Gym Fun Tues September 23rd 1.30pm-3.30pm

Program 3 Gym Fun Thurs October 2nd 10.30am-12.30pm

Program 4 Gym Fun Thurs October 2nd 1.30pm-3.30pm

PAYMENT:

§ Fees are to be paid in full by

Friday 12^th September

§ The gym office is open Mon-Fri 10am-5.30pm during the School Term to accept cash or cheque payments

§ NO Eftpos or Credit Card facilities