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Flippa Ball Clinics Registration Form

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Hutt Flippa Ball Clinics
 April School Holidays

 26 - 29 Apr 2005

Naenae Olympic Pool, Hutt City

Published: 3rd Apr 2005

First Name ?????????????.????????..

 

Surname ??????????????????????..

 

Age ?????????. Male/Female ???????.

 

Address?????????????????????.??.

 

???????????????????????????.

 

E-mail address????????????.??????..??

 

Telephone details ??????????..????????.

 

 

I would like to register for the following clinics:

 

 

Learn to Play Flippa Ball - $40 Yes/No

Both Tuesday & Wednesday, 26 & 27 April, 10.30 am to 12.30 pm

 

 

Advanced Flippa Ball - $40 Yes/No

Both Thursday & Friday, 28 & 29 April, 10.30 am to 12.30 pm

 

 

Combo ? both clinics - $60

I would like to register for both Clinics at reduced rate of $60

 

 

 

Parent/Guardian Signature

 

???????????????

 

Registration form and payment to:

Hutt Water Polo Club

27 Hathaway Avenue

Lower Hutt

 

 

 

Numbers are limited

Registrations confirmed when payment received.

See details of the related event:
  *  2005 Hutt Flippa Ball Clinics (April School Holidays)
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Four Winds Foundation Hutt Mana Charitable Trust Infinity Foundation New Zealand Racing Board One Foundation Pelorus Trust Pub Charity

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