Toowoomba Basketball Strength and Conditioning Term 3

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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 10-Jul-2017 to 16-Sep-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 $50
5:30 pm U/18 & U/16 55-57 Kitchener Street, Toowoomba $50

DISCLAIMER:
Prepayment required via Credit Card or PayPal.


Agreement

21-May-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.
$50.00
$50.00
Credit Card (Ezidebit)