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Aussie Hoops April10 registratio

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Aussie Hoops April10 registratio Powered By Docstoc
					                                                                                                    in conjunction with McKinnon
                                                                                                        Basketball Association


Aussie Hoops is Basketball Australia and Basketball Victoria’s
development program for kids aged 5 to 9. A great opportunity
to accquire and develop new skills with three program times
to choose from at McKinnon Basketball!
The next 8 week Aussie Hoops program
commences Friday 16th April 2010 at Brighton
Secondary College, Saturday 17th & Sunday 18th April
2010 at Bentleigh Secondary College.                                                                                        McKinnon
Each session runs for 60 minutes.                                                                                           AussieHoop
                                                                                                                                               s
DETAILS:
Friday 16th April 2010 @ Brighton
Secondary College,120 Marriage Road.
Melways 77A1. 5.00 to 6.00pm
Saturday 17th April @ Bentleigh
Secondary College, Clarence Street.                                                         Participants receive an Aussie
Melways 77J3. 8.30 to 9.30am                                                                Hoops Basketball, Sweat band,
Sunday 18th April @ Bentleigh                                                              Backpack, t-shirt & Drink bottle
Secondary College. 8.30 to 9.30am
                Cost: $75 (New registrations) $55 (existing)
   Registrations and Cheques payable to: ‘McKinnon Basketball Association’ P .O.Box 4003 McKinnon, 3204
                        Contact the MBA office on 9557 6807 for further information
                       Fax: 03 9557 6635 email: programs@mckinnonbasketball.org


   Name:.................................................. Age:............. Birthdate:........................ Male                        Female

   Address:................................................................................................................Postcode:................
                                                                                                                                                     Murrumbeena
   Phone Number:............................................mobile:................................                   McKinnon Basketball is proudly supported by
                                                                                                                                   Murrumbeena
                                                                                                                                                      Community Bank®Branch
                                                                                                                                   Murrumbeena
                                                                                                                                                  436 Neerim
                                                                                                                                   Community Bank®Branch Road
                                                                                                                                   Community Bank®Branch
   email:........................................................................................................                  436 Neerim Road 9568 8166
                                                                                                                                   436 Neerim Road
                                                                                                                                   9568 8166
                                                                                                                                   9568 8166
   What School do you attend?:...............................Parents Names:.......................................................
                                                                                                                                                                    www.bendigobank.com.au

                                                                                                                                           www.bendigobank.com.au


                                                                                                                                               www.bendigobank.com.au

   Do you take any prescribed drugs? Y                            N      If Yes, for what condition?..............................................

   Preferred session..........................................................................................

   Parents signature: ...............................................Date:.................................

   Credit Card Payment: Mastercard                             Visa          Card No:...................................................................

   Name on Card:..................................................................................Expiry:.........................................
   Note: Credit card payments attract a $1 fee per $100 or part thereof. Eftpos available from MBA office, 79a Thomas Street, Brighton East.
McKinnon Aussie Hoops April 2010

				
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posted:5/1/2010
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