Exergames After School Program Registration
When: Term 4 - Thursdays
Duration: 9 weeks (including 1 week free trial) - (Week 2 - Week 10)
Location: Lindner Oval (Peak Hill)
Time: 3:30-5pm
Sign in to Google to save your progress. Learn more
Email *
Child's Name (including last name) *
Child's D.O.B. (Date of Birth) *
Child's address *
School your child attends *
Which program will your child attend? (Select 1) *
Medical Concerns (type N/A if this does not apply) *
The program cost is $99. Will you be using an Active Kids Voucher as payment? *
Active Kids Voucher Code (which is obtained from https://www.service.nsw.gov.au/transaction/apply-active-kids-voucher)
Captionless Image
Emergency Contact 1 (Name and Phone Number) *
Emergency Contact 2 (Name and Phone Number) *
Permission for your child to be in photos/videos for Exergames' publications *
Permission for your child to walk home after Exergames' Sessions? *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy