Primary Years 3-5 Active Skills and Fun Day

Tuesday, 12 November 2019

Please complete this form if your school wishes to participate in the Primary Years 3-5 Active Skills & Fun Day.

FORM MUST BE RECEIVED BY 25 OCTOBER 2019

Cost: $5.00 per student (plus GST). Please make cheque payable to ACHPER (SA). Your school will be issued a tax invoice inclusive of GST based on the number of students registered on this form.

Contact Name: « Required
School: « Required
Address:
Suburb:
Postcode:
Mobile Number: « Required
After Hours Phone Number:
Email (required for confirmation): « Required
Number of Classes (Please restrict numbers to two classes so we can have as many schools as possible involved): « Required
Total Students: « Required
Year Level: « Required