REGISTRATION FORM

Christmas Party - December 12th 2025

Parent first name

Parent surname

Email

Telephone

Child first name

Child surname

Date of Birth of Child

Age of child

Multiple Children

Yes

Payment

Member Price: $20

Non-Member Price: $25

Please processed payment at Registration.

*Please note that registration cost does not include the sausage sizzle.

Please see account details below for transfer of funds, or contact Mandurah Indoor Rock Climbing on 9581 7465 to finalise payment.

Westpac Banking Corporation

Mandurah Indoor Rock Climbing

BSB: 036 157 ACC: 591 384

Please include your 'Surname' and 'Party' as the reference.

Additional Information