Warning: Undefined array key "loc_id" in /home/mxgrasshopper/public_html/templates/theme3096/html/com_hikashop/product/show_default_enrol.php on line 63

Enrol Now

Program: Mite
Day & Time: Saturday 09:00 - 09:35
Price: AUD 120.00
The majority of students wear the Grasshopper Soccer uniform.
Child's Full Name:
Email:
Gender:
Phone:
Suburb
Postcode
Address
Emergency Name:
Emergency Phone number:
Country State:
Birthdate:
Where did you hear about:
Parent's Consent:
+