= Required Fields

Online Form - RElax Enrolment 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 enrolment form
  5. Payment can be made in person at 35 Old Perth Rd, Bassendean or by calling 9377 8000 with your credit card details
  6. Class confirmation is not complete until payment has been received. 
  7. 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 if only doing one course)

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



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