Term 2, 2012

A Professional T.C.A Qualified and T.A Certified Coach conducts all classes.

COST

$50.00 (GST Incl)per 1/2 hour lesson
Payment is required at the conclusion of each lesson, unless otherwise arranged.

Please make cheques payable to : “Maree Lococo” or E.F.T to BSB: 034-072, Account: 197549

Private Coaching - Enrolment Form - Term 2 2012

1. Name of Student(required)
2. Grade(required)
3. Date of Birth(required)
4. Parents Name(required)
5. Address(required)
6. Telephone (Home)(required)
7. Telephone (Work)
8. Telephone (Mobile)
9. Email(valid email required)
10. Current Venue/Day/Time(required)
11. Preferred Venue/day/Time(required)
12. I have read and agree to the attached Terms and Conditions (please tick)
14. Please note any Illness's, Medications, emergency contact details etc. we should know about

 

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