May 2008
on Saturday 10th, 17th May
9 – 10.30 am
at Peachgrove Intermediate, Peachgrove Rd.
COST $30 per person.
For More Details Call 856-5539 or email <naazshah@hotmail.com>
Registration
Details for Programme 3 ( 3 May 2008)
Name .......................................
Year at School .....................................Rep / Non-rep (circle).............
Address.................................................
Phone .................................................
.
Email...................................................
Parent/Caregiver Emergency Contact Number ....................................................
Medical conditions and medications ..........
COST $30 per course ===========Amount Enclosed $..............................
I give permission for .......................................to participate
in the Hockey programme.
Parent/Caregiver’s signature) .........................................................................................
Please pay by cheque only, make cheques out to “N
Shah” and send completed registration form with payment to...
N.Shah, 99 Naylor Street, Hamilton East or contact me
on naazshah@hotmail.com