Rollerblading.com.au lesson booking form

Please provide the following information, especially your mobile phone number and your booking reference number/s and one of our instructors will contact you shortly. You may receive an sms and / or email.

Do you require skate or protective equipment hire? If so what size/s?
N.B. You will be required to wear knee, wrist & elbow pads plus a helmet.

Would you describe yourself as a beginner, intermediate, advanced or expert? Stopping problems????

Which VENUE would you like to book?
eg Sydney, Melbourne, Brisbane, etc.

What day and time would suit you?

Number of people in your group?

What is your evoucher booking reference number / PayPal receipt number?

Booking reference password (for evouchers)

First Name

Last Name

Address

Suburb

City

State

Postcode

Mobile Phone OR Contact no? Required

Work Phone

Home Phone

Email Addresses

How and where did you hear about us?
Who referred you to us?

By completing this form you agree to pay a cancellation fee of 100% should you fail to show up for your lesson without giving at least 24 hours notice via SMS to your instructor? EXCEPTION: lesson is rescheduled within 24hours of original lesson time (subject to availability). Lessons at our Melbourne venue are not available on Sundays.

Rollerblading Booking Form

Indicates Response Required