Enrolment Page

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First Name*
Last Name*
Select Program*
Term 1*
Term 2*
Term 3*
Term 4*
Date of Birth*
MM slash DD slash YYYY
Parents / Guardians First Name, Last Name*
Email*
Mobile*
Postal Address*
School Attending*
Gender
Relevant Medical Conditions*
Friends To Be Grouped With*
Preferred Day & Time*
Select Payment Option*
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Before you continue and submit this registration, please process your direct debit transfer using the following account details:

Account Name: Slamin Tennis & Fitness
Name of bank: Bendigo Bank
Account number: 143 067 874
Bsb: 633 000

Please use your First Name, your Last Name as the reference for your payment and then email your receipt through to your E-mail
Comments / Requests
I understand and accept the following Enrollment Terms*
- I understand and accept the following Enrollment Terms