SEASON 3 2022 LEARN TO PLAY REGISTRATION

LEARN TO PLAY

REGISTRATION FORM
Membership type *

NEW ($248 - includes a ball and singlet posted to you) RETURNING ($200)
Select Singlet Size
Calculation
CHOOSE YOUR VENUE

Where do you want to train?
Locations *
** All Learn to Play training sessions run for 1 hour.
Balmain (Sydney Secondary College - Balmain Campus) - Level 1 Tuesdays @ 4pm
Balmain (Sydney Secondary College - Balmain Campus) - Level 1 Wed @ 4pm
Balmain (Sydney Secondary College - Balmain Campus) - Level 2 Tuesdays 4pm
Balmain (Sydney Secondary College - Balmain Campus) - Level 2 Wednesdays 4pm
Bondi (Margaret Whitlam Recreation Centre) - Level 1 Wednesdays 5pm
Bondi (Margaret Whitlam Recreation Centre) - Level 1 Sundays 8am
Bondi (Margaret Whitlam Recreation Centre) - Level 2 Sundays 8am
Bondi Junction (Church in the Marketplace) - Level 1 Mondays 4:30pm
Bondi Junction (Church in the Marketplace) - Level 2 Mondays 5:30pm
Bondi Junction (Church in the Marketplace) - Level 2 Wednesdays 4:30pm
Bondi Junction (Church in the Marketplace) - Level 1 on Saturdays 8:30am
Bondi Junction (Church in the Marketplace) - Level 2 Saturdays 9:30am
Caringbah (Caringbah High School) - Level 1 & 2 Sundays 10am
Sydney University (Sports and Aquatic Centre) - Level 1 Sunday 8am
Sydney University (Sports and Aquatic Centre) - Level 2 Sunday 8am
University of NSW (Fitness and Aquatic Centre) - Level 1 Tuesday 4pm
University of NSW (Fitness and Aquatic Centre) - Level 2 Tuesday 4pm
Petersham (Fort Street High School) - Level 1 Saturday 10:30am
Petersham (Fort Street High School) - Level 2 Saturday 9:30am
Additional Information

PARENT/GUARDIAN/CARER DETAILS
First Name *
Surname *
Email
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

CHILD'S DETAILS

New players receive an EBL Starter kit which includes an EBL Ball and a Little Ballers Singlet
Child's First Name *
Child's Surname *
Child's DOB *

Day Month Year
Date
Any Medical Conditions

ACTIVE KIDS VOUCHERS
Do you wish to use a valid Active Kids Voucher with this registration?
VOUCHER DETAILS
Before you enter the details:
- Is the voucher number correct (16 digits, no spaces)?
- Is the name on your active Kids Voucher the same as this registration? (Check middle names)?
- Is the DOB used to claim the voucher with Service NSW the same as this registration?
- Are you sure the voucher has not been redeemed elswhere?
Any rejected vouchers will incur a $10 admin fee.

REBATE
Your $100 will be automatically deducted from the final payment.
What is your Active Kids Voucher Number *
Redeemed? *

PAYMENT PAGE
discounts total
TOTAL
Do you have a discount code to use?
Discount Code

PAYMENT

AUD Learn to Play

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

LEARN TO PLAY

CHOOSE YOUR VENUE

PARENT/GUARDIAN/CARER DETAILS

CHILD'S DETAILS

ACTIVE KIDS VOUCHERS

PAYMENT PAGE