NEW PLAYER REGISTRATION FORM

Please fully complete the form below to register.

Participant (required)


Gender

Parent (required)


Address



Contact Details (required)


Aboriginal or Torres Strait Islander?
YesNo

Culturally and linguistically diverse background?

Participant Preferences

Select program (choose multiple)
ANZ Hot ShotsPrivate LessonSquadsAdult Group CoachingSchool Holiday Clinic

Please contact Todd Langman or Todd Ley with any queries.