Goondiwindi cricket clinic

Goondiwindi cricket clinic

September 30th & October 1st
Participants Name

First Name Last Name
Participants age
Parent/Guardian name

First Name Last Name
Parent/Guardian contact
Please enter a valid phone number.
Email address
example@example.com
Clinic time

8.30am - 12pm (U10's - U12's) 1pm - 4.30pm (U13's - U18's)
Do you give us permission to use images/videos of your child for social media advertising

Yes No
Please make us aware of any allergies or medical conditions coaches should know about.
Payment details

Nathan Reardon cricket coaching

Westpac banking

BSB 734 053

ACC 713 533

Amount: $80pp

Reference: participants full name

Registration is complete once form is submitted and payment is made
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