Move for Life Workshop Registration

Move for Life - Workshop Registration Form
IMPORTANT WORKSHOP INFORMATION :

- The workshop goes for 4 hours

- The Move for Life workshop is $66.00

CANDIDATE INFORMATION:

To register please follow and complete ALL steps below;

Step 1: Fill in your personal details
Step 2: Choose workshop type & date you wish to attend
Step 3: Select payment.
Step 4: Preview and proceed to payment gateway
Step 5: Process payment via PayPal.

*Please note full payment is required upon enrolment. Confirmation of enrolment will not be provided until payment is successful.

If you have any further enquiries about Move for Life please contact:: gfa@gymnsw.org.au

Participant Contact Information
Name: *

First Name Last Name
Technical ID *

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Main Email *
Must check often
Confirm Email *
Must check often
Mobile Phone Number: *

- Area Code Phone Number
Home Phone Number

- Area Code Phone Number
Birth Date *

Day Month Year
Club or school *

Please select your workshop type:
Please note that any coach wanting to participate in this course will need to hold an Intermediate or above Accrediation.
Which workshop would you like? *

Move for Life Workshop (4 hours)

Please select your workshop date:
*

Terms & Conditions
Special Requirements
* Please Note, all courses are subject to availability.

** Courses and workshops need a minimum number to run.

*** Please keep an eye on our website for all the new course releases here:

PURCHASE & SUBMIT

My Product *

Move for Life Workshop (GST incl.) $ 66.00 AUD

Enter coupon

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