lpwcc
LPWCC home

 
If you wish to register your child for the Junior Section please complete the form below.
JUNIOR SECTION
   
Junior $40 per child (fee is $60 per family for two or more children)
   
Secondary School $60
   
   
Internet Banking Please deposit into the club's bank account by clicking here
   
Cash Please hand to a committee member
   
Cheque Please post to PO Box 19-573, Ch-Ch. Make cheque to LPWCC
Child's Name
   
Parent/Caregiver's Name
   
Address
   
Suburb
   
Post Code (click here to find)
   
Email
   
Home Phone Number
   
Parent Cell Phone
   
Date of Birth (dd/mm/yy)
   
School Year (2009)
   
Current School
Played Before?
   
Preferred Grade
   
Parental Assistance