enrol now

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As spaces are limited it is essential you enrol your child to secure your position, please complete the form below. We look forward to meeting you!

Your Name: (required)

Your Email: (required)

Your Childs Name: (required)

Your Childs Age: (required)

Your Childs Birthday: (required) Day Month Year

Your Home Phone: (required)  Your Mobile:

I would like to purchase a Soccer4tots t-shirt ( $22 each + $5.00 Courier)

Colour:

Size:

Delivery Address:
Street:

Suburb:

Postcode:

City:

Preferred Location:    Second Location Choice:

Comments: (Optional)



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