Gators Hoops Term 1 2017 - Wednesday Beginner (Middleton)

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Enrollment information for Hoops After School Academy at Middleton Grange.

Wednesdays at Middleton begin on 8 February and finish 29 March

If you have any questions please contact Faith at wharenuigators@gmail.com

Cost for the term for one child $85, $160 for 2, $230 for 3 children.
If a player is enrolled in the SDL Hoops will only cost $75 (saving $10)
If a player enrols at two Gators Hoops Academies AND the SDL their cost is only $130 (saving of $40)

Please be aware that numbers are limited at each session, you will be contacted if your desired session is already full

Child's Name (First and Last) *

Are you enrolling one or more children? *

One child

More than one

Required

Please list additional siblings

Please note each child will need their own enrollment form

Date of Birth *

YYYY

Contact Phone Number (mobile preferred) *

Secondary Contact Number *

Caregiver/Parent name *

Email Address *

Please confirm the session would you like to enroll your child in *

Wednesdays 4:00pm - 4:50pm (Beginners - aimed for children in Year 5-8) - Middleton Grange

Required

What school does your child attend?

Payment Information

Please use the GHOOPS1, Your childs initials and surname as a reference when depositing money

Wharenui Gators Bank: 02 0874 0300012 00

How did you first hear of our programmes? *

Are there any medical concerns we should be aware of? *

Yes

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