THE GOALIE CENTRE (TERM 2) 2010 DRYLAND PROGRAM
PHONE: (780) 922-0031    FAX: (780) 922-0024


NAME: ____________________________________________________________


ADDRESS: _________________________________________________________


CITY ____________________________  POSTAL CODE: __________________     


BIRTHDAY: ________________________________________________________


HOME PHONE: _____________________ CELL PHONE: ____________________


EMAIL ADDRESS: ___________________________________________________


GOAL FOR THE 2010 / 2011 SEASON:

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PARENTS: _________________________________________________________


PAYMENT INFORMATION


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TERM 2: 5 Day Program, 6 Weeks
(Mon. Stairs, Tues Gym, Wed Saq, Thurs Gym, Sat P/S)

July 5/10 Thru to Aug 14/10 - WITH POWERSKATING

COST: $1164.00 PLUS TAX

GYM is ATHLETICA (7508 Gateway Blvd, (780) 641-0888)

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TERM 2: 4 Day Program, 6 Weeks
(Mon. Stairs, Tues Gym, Wed Saq, Thurs Gym)

July 5/10 Thru to Aug 14/10 - NO POWERSKATING

COST: $864.00 PLUS TAX

GYM is ATHLETICA (7508 Gateway Blvd, (780) 641-0888)

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TERM 2: 3 Day Program, 6 Weeks
(Mon. Stairs, Wed Saq, Sat P/S)

July 5/10 Thru to Aug 14/10 - WITH POWERSKATING

COST: $684.00 PLUS TAX

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TERM 2: 2 Day Program, 6 Weeks
(Mon. Stairs, Wed Saq)

July 5/10 Thru to Aug 14/10 - NO POWERSKATING

COST: $384.00 PLUS TAX

ALL TERM 2 PROGRAMS CAN BE PRO RATED BY WEEK BASED ON
HOLIDAYS AND SUMMER CAMPS