Dahlhaus Clubhouse
Junior Member Clinic
Friday 8 April, 2016

Participant Registration

To register, please complete the details below:

Question Title

* Contact Details

Parent / Guardian Name

Address

Suburb

Post Code

Email Address

Contact Number

Please note
Prior to registering your Child's participation in the clinic, please note that all participants are required to be 4 years of age by the day of the clinic to participate.

Question Title

* Child 1

Name

Member ID

Date of Birth

Question Title

* Child 2

Name

Member ID

Date of Birth

Question Title

* Child 3

Name

Member ID

Date of Birth

If you would like to register more than 3 juniors please contact Membership Services on 1300 46 36 47.

Click submit to complete the registration.