Core Connect Enrolment Form:
Please complete this enrolment form to secure your place in this SO Active course.
Course Start date
Please can you specify the date of the course you are wanting to enrol in?
WEDNESDAYS, June 5 - July 24 (Exodus Club 10.30-11.30am)
TUESDAYS, July 23 - September 10 (Exodus Club 10.30-11.30am)
FRIDAYS, July 26 - September 13 (Hutt 9.30-10.30am)
WEDNESDAYS, August 7 - September 25 (Exodus Club 10.30-11.30am)
TUESDAYS, September 17 - November 5 (Exodus Club 10.30-11.30am)
WEDNESDAYS, October 16 - December 5 (Exodus Club 10.30-11.30am)
FRIDAYS, October 18 - December 6 (Hutt 9.30-10.30am)
TUESDAYS, November 12 - January 14th (2 weeks off over Christmas)(Exodus Club 10.30-11.30am)
Date of Birth:
Occupation (prior to baby's arrival):
Baby's Date of Birth:
Number of Pregnancies:
Baby's siblings & DOB (if any):
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