Your Name *
Email *
Home Phone *
Mobile Phone *
Location * ---Karori UnitedKilbirnieMitchell ParkThorndon
Select a group* ---Cardio TennisLadies NightAdult Interclub
Preferred Days MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Lesson Length* ---1/2 Hour1 Hour
Other Important Information
Payment Method * Direct CreditCheque/Cash
Account details: Cheques payable to Capital Coaching Ltd