Sprinting Fast Holiday Clinic - Tue 22nd & Wed 23rd January 2019

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Participant Name

Participant Name *

Choose ONE option only. Includes $10 late fee per day if applicable.

Please choose one (1) FREE option.

If so, please specify

Including friends you wish to participate with.

I give permission for the above mentioned athletes image to be used by Sprinting Fast for promotional purposes. All participants and the general public will have access to view the photos.

I, parent/guardian, in the event of an accident or illness suffered by my child, authorise the organisers to obtain, on my behalf, such medical assistance as my child may require. Organisers will not be liable for loss, damage or injury, to property or person, occasioned as a consequence of enrolment of any child or children in any Programs, and I acknowledge the exclusion of liability accordingly. Sorry, No refunds (only with medical certificate)

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