Toowoomba Basketball Strength and Conditioning Term 4

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Client 1

Load contact details using username and password
If you do not have a username and password, one will be created for you when you submit this form.

Client Details

Male Female

Parent/Guardian Details

Address

Health and Fitness

Training Dates

From 03-Oct-2017 to 08-Dec-2017

Training Days & Times

Once a time slot is full you will be asked to make another choice.

Tue Fri
5:00 pm U/14 & U/12 55-57 Kitchener Street, Toowoomba $125
5:30 pm U/18 & U/16 55-57 Kitchener Street, Toowoomba $125

DISCLAIMER:
I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of Vision Exercise Physiology coaches. I understand that similar to all sporting activities, there is a risk of damage to personal property, injury or death which may result from causes beyond the control of, and without fault or negligence of Vision Exercise Physiology, its officers, agents, or employees, during the period of my (or my child's) participation. I understand completely the above agreement and agree to be bound thereby. By registering on our site you agree that we may send you email related to our facilities and programs. We will not provide your details to any other company.


Agreement

21-Apr-2018

Payment Method

There are no refunds for any enrolments into Vision Exercise Physiology related programs. When you sign/tick confirmation for this enrolment you are acknowledging that you know this as a fact and have accepted it as a condition.
$125.00
$125.00
Credit Card (Ezidebit)