Holiday Program Easter Holidays


Client 1

Client Details

Enter the password that you would like to use for your new account.

Parent/Guardian Details

Address

Health and Fitness

Training Dates

From 02-Apr-2018 to 11-Apr-2018

Training Days & Times

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

Mon Wed
9:00 am 11th April 2018 Vision $35
9:00 am 2nd April 2018 Vision $35
9:00 am 4th April 2018 Vision $35
9:00 am 9th April 2018 Vision $35

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

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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.
$35.00 per session
Credit Card (Ezidebit)

Please mail this form with a payment attached to: "Vision Exercise Physiology, 324 Hume Street, Toowoomba QLD 4350"