GB Mona - Private Class Registration

Private Class Registration
Student Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Format: 0000000000.
Frequency of Class

One offWeeklyOther
Appointment*
Notes: (Anything you would like to work on? Injuries you need to work around? Instructor Preference?)
Do you have a voucher*

YesNo
NOTE: This booking(s) is not set and needs to be confirmed by the Program Director. You will then be contacted by your preffered instructor to book a date and time.
Signature

My Products*

Prof Pedro PRIVATE class$150.00AUD

1x class $150 +GST

Coach Flecha PRIVATE class $120.00AUD

Select 3x classes PROMO for $300 +GST

Coach Laura PRIVATE class$100.00AUD

Select 3x classes PROMO $250 +GST

Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD

Credit Card

Apple Pay

Google Pay