Summer Program - Wolverines Field Hockey Club

Summer Program

Children Info

Children Name *

Date of Birth *

Select Gender *

Total Price

AfterCount

BeforeCount

Discount

Parents/Guardian Name *

Relation to Child *

Email *

Contact Number *

Anything you would like to share about the child (e.g., allergies or other concerns)? *

Secondary Contact(optional)

Relation to Child

Address

Program Fee Breakdown

After Ages (3yrs–7yrs): {number-2} × $360
Before Above 7yrs : {number-3} × $560

Subtotal: ${number-1}

Sibling Discount: -${number-4}
Processing Fee: +${number-6}

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Total Amount Payable: ${number-5}

Processing Fees

Price after discount

Credit / Debit Card *