www.msacbasketball.com.au

MSAC Skills program

Complete the form below
First name(*)

Please type your full name.
Surname(*)

Invalid Input
E-mail(*)

Invalid email address.
Date of birth(*)

Invalid Input
Parent/Guardian name(*)

Invalid Input
Home phone (no space gaps)(*)

Don't leave any spaces between digits
Mobile phone(*)

Don't leave any spaces between digits
What day of the week would you like to enter(*)

Mondays $180 + $30 (training kit) - 210.00 AUD
Mondays (Returning student) - 160.00 AUD
Wednesdays $200 + $30 (training kit) - 230.00 AUD
Wednesdays (Returning student) - 180.00 AUD
Thursdays $200 + $30 (training kit) - 230.00 AUD
Saturday mornings at APC - 175.00 AUD
Thursdays (Returning student) - 180.00 AUD
Invalid Input
Waiver(*)

I herby acknowledge that participation in this skills program and related activites involves an inherent risk of physical injury. I, on behalf of the registrant, hereby assumes all such risk and do hereby release and forever discharge the MSAC skills program and all employees and agents thereof from any and all liability of whatever kind or nature arising from and by foreseen and unforeseen bodily injury and personal injuries, damage to property, and that of equipment or defect in the premises. I hereby state that I am the legal guardian of said registrant. By clicking here I acknowledge that I have read and accept the above conditions.Invalid Input
Amout

0.00 AUD