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MANDURAH INDOOR ROCK CLIMBING
REGISTRATION FORM
Birthday Party
*
Parent first name
*
Parent surname
*
Child first name
*
Child surname
*
Telephone
*
Email
*
Age of child
*
Ages of guests
*
Birthday Options
Climb
Climb/Ninja (only available Sat 11:30am)
Climb/Aerial
*
Guest numbers
10 or less
15 or less
*
Preferred date (see below)
*
Available days and times
Fri 5:00pm – 7:00pm
Sun 11:30am - 1:30pm
Sat 11:30am - 1:30pm
Sun 2:30pm – 4:30pm
Sat 2:30pm - 4:30pm
*
Deposit payment method
Telephone
In Person
Bank Transfer
Additional information
*
Signature
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