= Required Fields

Online Form - RElax Enrollment Form

The RElax program provides the community with opportunities to develop skills, meet new people, try new things and engage with others.

How to Enrol

  1. Pick up a booklet from one of our many locations or download a copy from the Town's website, www.bassendean.wa.gov.au, and search RElax
  2. Read through the Code of Conduct found here
  3. Fill out all fields on the application form below
  4. Submit your enrollment
  5. Once payment has been approved, you are enrolled. No class confirmation is required.
  6. Please note: The course must reach a minimum number of participants, so if a course fails to reach this number, participants will be informed and issued a refund.

Participant Details


RElax Program Details

Course 1

Course 2 (leave blank in only doing one course)

Course 3 (leave blank if not doing a third course)



Payment Options

[In Person] pay by cash, cheque or credit card on Monday to Friday between 8.45am and 4.45pm at: Town of Bassendean, 35 Old Perth Road, Bassendean

[Mail] send cheque or money order made payable to “Town

[Credit / Debit Card] please complete the details below


Acceptance

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