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About
Youth Mentoring
Sports Programs
Netball
Swim
Rugby
Book In Now
Contact Us
Home
About
Youth Mentoring
Sports Programs
Netball
Swim
Rugby
Book In Now
Contact Us
BOOK IN NOW
BOOK IN NOW
CONTACT MOTIVATIONZ
Phone: 0212226340
|
E: anthony@motivationz.co.nz
Or, please fill in the form below and we will get back to you ASAP
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Participant's Details (Name)
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First
Last
Date of Birth
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Email Address
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Sport/Programme
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Netball
Swim
Rugby
School Year
*
Current Team
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Tell us about the participant
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Enquiry
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Parent / Caregiver Contact Details (Name)
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Last
Phone Number
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Email Address
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Street Address
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Suburb
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City
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Post Code
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Do your child have any medical conditions?
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If yes, please list them here
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If you child has any exisiting medical conditions, please list them here.
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41 Urunga Ave
Christchurch, New Zealand 8052
Phone: 0212226340
Email:
anthony@motivationz.co.nz