Course Booking Form

Course Details

Junior Coaching: February 2018 - April 2018

Cost:
$400.00
$400.00 non-members
Sessions
  1. Sunday 4th February, 10:00 am – 2:00 pm
Membership Details

Username (Membership Number)

Password

* 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.