Active Kidz Term 1 2026 Registration Form

Active Kidz Registration Form

Term 1 2026 -Date - 31st Jan to 28th March - 9 weeks Term (All registrations will receive a FREE Active Kidz T-shirt)
Child's Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Date
MaleFemale
YesNo
Name of additional child

First NameLast Name
Birth date of additional child

DayMonthYear
Date
MaleFemale
Parents/Guardian's Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

My Products*

Saturday Bilby 9:30am to 10am

Ages 1.5 - 2.5 yrs ..............................................

$100.00AUD Quantity

Saturday Platypus 10:15am to 11am

Ages 2.5 - 4 yrs .............................................

$100.00AUD Quantity

Saturday Kookaburra 11:15am to 12pm

Kookaburra Ages 4 - 6 yrs ...........................................

$100.00AUD Quantity

Enter coupon

Subtotal

$0.00AUD

Shipping

$0.00AUD

Total

$0.00AUD

Mobile Number*
Please enter a valid phone number.Format: 0000-000-000.
Additional information
I agree to the below terms and conditions

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Terms and Condititions Classes are non refundable. Classes must be used within the duration of the term. If your enrolled child is unable to attend your booked class please contact us and we can book an alternative class for you. No refund or reduction in the price shall be provided where the enrolled child does not attend an alternative class. In consideration of the Organisation allowing me to participate, I agree: a) To assume all risks arising out of, associated with or related to my participation; b) To be solely responsible for any injury, loss or damage that I might sustain while participating; and c) To release the Organisation from liability for any and all claims, demands, actions and costs that might arise out of my participating.
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Active Kidz Registration Form