Arrowtown Sports and Games Club: Oct-Dec 2024

Your First Name *

Your Last Name

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Phone Number *

Player Information

Player's First Name *

Player's Last Name

Boy or Girl? *BoyGirl

Does your child have any medical condition we should know about? *NoYes

Please provide details

Home Phone

Cell Phone

Emergency Contact Information

Contact's First Name

Contact's Last Name

Relationship

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Payment Details

Will you be attending all 8 weeks, or only some?All 8 weeks (pay for 8 weeks)Only some weeks 3pm - 5pm

Were you booked in for Wednesday 4th September in our previous Arrowtown Sports and Games club?YesNo

Total Owing

$

We are aware of some issues with Credit Card processing. You will not be charged if your CC payment fails. If you have any trouble using the Credit Card payment option, please select Bank Transfer.

Please make sure you have selected the correct dates.

Pay by Bank Transfer or Credit CardBank TransferCredit Card

Credit / Debit Card *

Bank Transfer

To pay by Bank Transfer please deposit ${calculation-1}

to ASB 12-3126-0012078-50

within 48 hours.

Use the player's name as reference.

Arrowtown Sports and Games Club: Oct-Dec 2024

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Player Information

Emergency Contact Information

Payment Details

Arrowtown Sports and Games Club: Oct-Dec 2024

$26 per session

$208 all 8 sessions

Pitch location

Contact Whitmarsh Academy

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Whitmarsh Academy