Come learn scooter skills & tricks with Jeremy Fiedler

The Regional Council of Goyder and YAC would like to welcome you to the December 21, Youth Activity Program. There are 2 scooter workshops available. 
Session 1- 1.30-2.30pm (primary school ages 5-12yrs)
Session 2- 2.30-3.30pm (high school + 12-24yrs)
Bring along your scooter, helmet and safety gear.

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* 1. Please register Participant #1 to one session only:

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* 2. Participant #1- Details 

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* 3. Participant #1 Date of Birth  (DOB)

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* 4. Please register Participant#2- to one session below:

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* 5. Participant #2 Details 

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* 6. Participant #2 Date of Birth  (DOB)

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* 7. Please register Participant#3- to one session below:

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* 8. Participant #3 Details

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* 9. Participant #3 Date of Birth  (DOB)

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* 10. If you have more than 3 children (from one family) to register  you can use another email and start registration process again. OR-  complete this form and then contact council directly with the further names and details via phone. Call on 8892 0100 or via Sport & Recreation Development Officer- Samantha on 0429 694 169

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* 11. Parent /Guardian/ Emergency contact Details

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* 12. Have you registered for any other Holiday Activities listed on the Council Website? Please check the boxes below-

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* 13. Conditions of Registration

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