* denotes required information
Name: *
DOB: *
Participants under 18 years of age require parental/guardian consent.
Gender: Male Female
T Shirt Size: *
Boot Camp T-shirt will be given to recuits on the first day of boot camp.
Address 1: *
Address 2:
Email: *
Mobile: * Home Ph:
Person to contact in case of emergency
Address:
Phone: *
Known allergies, medications or medical conditions *
I have read and agree to the Kick Tactics Boot Camp Terms & Conditions.
I have read and agree to the payment and cancelation terms below.* 1 month paid in advance by direct debit, $25.00 freeze or cancelation fee (max 6 months freeze). We required 7 days notice to freeze or cancel your membership. cancelations must be made in person or by signed letter to Kick Tactics. 1/32-60 Alice Street, Newtown NSW 2042.
