Term Enrolment - Youth | Falsegrip Kids Gymnastics Training

Parent/Guardian Details

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Your Child's Details

Gender

D.O.B.

Age (our Youth Term Programs are for 7-16 year olds)

Do you have a current Active Kids Voucher?

If yes, please include your 16-digit Active Kids Voucher Number below.

I'd like to book for:

Please book my child in for the following class [select 1 only]:

Gymnastics Strength & Skills | WED 4:15-5:15pm (7-12y)

Gymnastics Strength & Skills | FRI 4:15-5:15pm (13-16y)

Tumbling & Tricking | WED 4:15-5:15pm (13-16y)

Tumbling & Tricking | FRI 4:15-5:15pm (7-12y)

Please select relevant pricing option:

I will be enrolling more than one child:

Card Type

Cardholder Name

Card Number

Expiry

CVV

Acknowledgement of Understanding

I understand that the amount nominated above will be charged to the card provided.

I understand that a receipt and confirmation of enrolment will be sent via email to the email address listed above.

I understand that no refunds, credits or make-up classes can be provided.

Parent/Guardian Signature

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Date

First Name

Last Name

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