Wed GAME Nights

Participant's Name *

Date of Birth *

Active Kids Voucher *

16 Digit number

Parent Name *

Parent Email *

Parent Mobile Number (Emergency Contact) *

Permissions *

I give permission for my child to be photographed/videoed for promotional and educational purposes on the Game Play Learn website and social media pages

I need more information before I give permission

I understand the risks involve in physical activity and release GPL from all liabilities relating to accident and injury.

Is there a Sport/Game the Participant/s would like to focus on?

Preferred Session Times

Other Family/Friends participating you would like to be Grouped with

Registration page exclusive to Members

Find out all the details here for our Term 4, 2018 WED GAME NIGHT

STARTING WEDNESDAY OCTOBER 16,2018

All enquiries welcome. Email Joey Peters: joey@gameplaylearn.net

TERM DATES