1. Costs 1 day = $50 2 days = $90 3 days = $120 Monday 16th April
Tuesday 17th April
Wednesday 18th April
AFL SWANSFIT &
NRL West Tigers
Skills, Drills and Modified Games
AGES : 5-12
TIME : 9AM-3PM
Basketball
Multisport and Boxing for Fitness
Skills, Drills and Modified
Monday 23rd April
Tuesday 24th April
Thursday 26th April
Multisport – includes AFL, Soccer, Cricket and Touch Footy
Soccer
Costs
1 day = $50
2 days = $90
3 days = $120
All participants need to be a
PCYC youth member
$10 annual fee
2-4 Minogue Crescent
Forest Lodge, 2037
For all enquiries or to register contact us on or at

2. School Holiday Program Registration Form
Please return to or to PCYC 2-4 Minogue Crescent, Forest Lodge, 2037
Child and Parent information
Child Name :____________________________________ Age :_____________________ Sex : Female or Male
Is your child an existing PCYC member : Yes or No
Parents Name :__________________________________ Parent Phone Number :________________________________________
Parent address : _________________________________________________________________________________________________________
Emergency Contact details if different to above :
Do you give permission for PCYC to contact 000 if case of an emergency: Yes or No
Does your child have any allergies ? Or medical conditions we need to be aware of ? Yes (list below) or No
__________________________________________________________________________________________________________________________________________________________________________________________________________________
Program (tick all that apply)
Payment
I, Credit Card Name:_______________________________________ Authorise PCYC to charge my card $__________________
Credit Card Number : ______________________________________ Expiry : _______/_________ CCV:_____________
Signature: _____________________________________ Date: ______________________
Would you like to hear more information about the programs PCYC offers : Yes or No
Office use : Date Registered: Registered by:
Parent ed confirmation send: Yes
Mon 16 April
$50 - AFL Swansfit & NRL West Tigers
Tues 17 April
$50 - Basketball
Wed 18 April
$50 - Multisport
Mon 23 April
Tues 24 April
Thurs 26 April
$50 - Soccer
Combo Deal
2 Days = $90
3 Days = $120