Fight Club Boot Camp Online Registration Form
Full Name:
e-Mail Address:
Address:
Suburb:
State:
NSW
VIC
QLD
SA
WA
NT
TAS
Postcode:
Phone Number:
Phone Type:
Mobile
Work
Home
Please select your Boot Camp Location & Start Date:
BALMAIN; 7:30pm-8:30pm
Wednesday 7th March 2007
NORTH SYDNEY; 6:30pm-7:30pm
Wednesday 7th March 2007
Your age:
Previous Martial Arts/Exercise
Experience
(if any)
:
Add your comments here...
Please make cheques payable to : X-Sports P/L and send to : Fight Club, P.O. Box 490, Glebe, NSW 2037