Kelly Mini Sports New Customer Registration Question Title * 1. Please enter your contact details: Full Name Address Suburb City Post Code Email Address Phone Number OK Question Title * 2. Please enter the contact details for an emergency contact person: Full Name Phone Number OK Question Title * 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 OK Question Title * 4. Which venue would you like to enrol at? Browns Bay Presbyterian (Mondays) Sports Cave Whangaparoa (Wednesdays) Sunderland Lounge Hobsonville Point (Thursdays) Whangaparaoa School Gym (Saturdays) Takapuna Primary School (Sundays) OK Question Title * 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) OK Question Title * 6. Would you like to register for a $20 two week trial before committing to a full enrolment? Yes No OK Question Title * 7. I have read and agree to all terms and conditions? Yes OK DONE
