Course Booking Form

Course Details

Optimist Camp 23rd and 24th

Cost:
$70.00
$70.00 non-members
Sessions
  1. Thursday 23rd January, 10:00 am – 3:00 pm
  2. Friday 24th January, 10:00 am – 3:00 pm
Membership Details

Membership Number

Surname

* You will require this to be eligible for member pricing.

Participant Details

First name

Last name

Home

Work

Mobile

Name

Phone number

Medical Details
Notes
Payment Method

If you have a voucher, please enter its unique code. In case the voucher does not cover the full cost of the course, please make sure you have selected one of the payment methods below to cover the remaining amount.