Student Name *

First Name

Last Name

Aboriginal/Torres Strait Islander

Please tick if you identify as Aboriginal/Torres Strait Islander

Goals

Please choose 3

Fun and Friendship

Improve Fitness

Improve Strength

Improve Flexibility

Trying New Styles

Focus on Performing/Competitions

Improve Technical Skills

Improve Posture, Alignment & Co-ordination

Challenge your Ability

Mother/Guardian *

First Name

Last Name

Father/Guardian *

First Name

Last Name

Emergency Contact and Relationship to Student *

First Name

Last Name

End of Year Perfomance *

My child intends to do the end of year performance

Yes

No

T's & C's *

I have read and understand the terms and conditions of enrolment and agree to them.