REGISTRATION FORM

Holiday Program - July 2026

Parent first name

Parent surname

Email

Telephone

Child first name

Child surname

Date of Birth of Child

Age of child

Multiple Children

Yes

Available Classes

Friday 9th Oct

Payment

Ninja and Climb $40

Ninja Class $25

Climb Class $25

Please process payment at Registration.

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 'Hols' as the reference.

Additional Information