Volleyball Workshop Registration Form
Term 3 September School Holidays Thursday 25th - Friday26th September Harbour Beach Volleyball Centre - 65 Maxwelton Drive, Mairangi Bay, Auckland 9:00 am to 2:30 pm, with drop-off from 8:30am and pick up available until 3pm
Child Information
*
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Relationship to Child/ren
*
Parent/ Guardian Email
*
Please insure this email is correct as we will be contacting you with more information and what to bring.
Alternative Emergency Contact Name
*
First Name
Last Name
Alternative Emergency Contact Phone Number
*
Payment
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Two Day Program
Choose the correct quantity when registering more than one child. The sibling discount will automatically be applied.
$
120.00
NZD
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
NZD
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit Form
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