Junior Ice Skating Event
Sunday June 23rd 12:00pm - 2:00pm

Contact: Lielle 0422 887 004
Cost: $15
Full Name of Participant *
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Name of Parent/Guardian *
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Email of Parent/Guardian *
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Mobile of Parent/Guardian *
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Year Group *
Payment Details
Please ensure that payment is made in full by June 22nd to the following account:

Account Name: Hineni Sydney
BSB Number: 013-030
Account Number: 296414623
Reference: Child's Name & Year Level
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