REGISTRATION FORM

Holiday Workshops January 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

Monday 12th January

Tuesday 20th January

Thursday 29th January

Payment

Ninja & Climb: $40

Single Class: $25

Aerial & Cimb (20th Only): $40

Please processed 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