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RISE Football Yeronga TERM Booking
RISE Football Yeronga booking form
Child's Details
Child's First Name
*
Child's Last Name
*
Childs Date of Birth?
*
What Grade/Class is your child in? (Example: 3R)
*
Lesson Options -
Lesson Options - Which session would you like your child to attend?
*
Wednesday 3:00-4:00pm
Thursday 3:00-4:00pm
Parent/Caregiver Details
Parent/Caregiver First Name
*
Parent/Caregiver Last Name
*
Mobile Number
Address
*
City/Suburb
*
Postcode
*
Email Address
*
Other Information
Other information we need to know about your child, such as, medical conditions, special needs etc.
Terms and Conditions
*
I agree to the
Terms and Conditions
If you are human, leave this field blank.
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