Registration Form

Registration Form - PayPal
First
Last
Address
Address
Street address
Street address 2
Suburb
State
Postcode
Country
Is your daughter registered with a local club?
Does your daughter suffer from any medical conditions that might affect their participation?
Photography consent

I hereby give my consent for images of my daughter to be used for promotional purposes, including social media, future marketing, local media, Kyah Simon website, et cetera.

Does your daughter wish to be grouped with family members or friends?
Registration Fee - $180 AUD
Payment Method