Kelly Mini Sports New Customer Registration

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* 1. Please enter your contact details:

First and Last Name

Address

Suburb

City

Post Code

Email Address

Phone Number

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* 2. Please enter the contact details for an emergency contact person:

Full Name

Phone Number

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* 3. Please the details of the child or children you would like to enrol:

Child 1 Full Name

Child 1 Date of Birth

Child 2 Full Name

Child 2 Date of Birth

Child 3 Full Name

Child 3 Date of Birth

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* 4. Which venue would you like to enrol at?

Whangaparaoa School Gym (Saturdays)

Takapuna Primary School (Sundays)

Lemonwood Grove School (Saturdays) CHRISTCHURCH

Opawa School (Sundays) CHRISTCHURCH

Hutt Indoor Sports (Thursdays) LOWER HUTT

Waimairi School (Sundays) CHRISTCHURCH

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* 5. Which class or classes would you like to enrol in?

Minis (1-2.5-year-olds)

Bigs (2.5-3.5-year-olds)

Giants (3.5-5-year-olds)

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* 6. Would you like to register for a $30 two week trial before committing to a full enrolment?

Yes

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* 7. I have read and agree to all terms and conditions?

Yes

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* 8. Where did you hear about Kelly Mini Sports?

Flyer

Google

Instagram

Facebook

Venue

Word of mouth

Other (please specify)

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* 9. Do you consent to use taking photos and videos of your child for training purposes, social media and data content?

Yes

Other (please specify)