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Introductory Class 2
20th December 2011

Please complete the following form to Book this course via our secure online credit card facility.

It is important we know all the information below for all participants attending this course as well as any Medical Conditions i.e. diabetes, food allergies etc. If none please place 'None' in area provided before continuing.Heights and clothing sizes are requested so that we may best fit each participant with the correct sized equipment.

Please Complete *Required Fields

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Mulitple bookings: If there is more than one participant attending, please seperate information with a "," i.e. John Smith, Jane Smith. If there is more than one participant please update course purchase quantity accordingly at checkout in the space provided. *All fields below are required.

Participants Name/s:

 

Age/s:

Allergies/Medical Conditions:

Emergency Contact Phone:

Lowest to Highest e.g 10-14

place 'none' if participant has no allgergies or medical conditions