Pearsall Primary Parents & Citizens’ Association
Fundraising Event
Parents Name
First Name
Last Name
Students Name
First Name
Last Name
E-mail
Mobile Number
-
Area Code
Phone Number
Childs Age
Other Contact
-
Area Code
Phone Number
Gender
Boy
Girl
Training Center of choice
Westfield Whitford City
Wangara
HBF Arena Joondalup
Uniform Size (Height cm)
Please Select
110cm
120cm
130cm
140cm
150cm
160cm
170cm
Tick the benefits you would like your child to experience learning Martial arts
Physical Conditioning
Gain Self Confidence
Self Control
Better Concentration
Improve Co-ordination & Flexibility
Other
My Products
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5 lessons & Uniform Program
$
29.00
AUD
Quantity
1
2
3
4
5
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7
8
9
10
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