Fill out the form below to register your interest Regional Development Centres, commencing Term II across 4x South Australian sites. Cost of the program is $450 which includes 30x sessions, a kit and access to a feedback app. EOI's close Friday 31 March.
Participant Name
*
First Name
Last Name
Regional Development Site
*
Please Select
Limestone Coast
Adelaide Hills
Whyalla
Riverland
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Participant Date of Birth
*
-
Month
-
Day
Year
Date
Participant Name of Club
Puma Kit Size Guide
Kit Size | Shirt
*
Please Select
128
140
152
164
176
XS
S
M
L
Kit Size | Shorts
*
Please Select
128
140
152
164
176
XS
S
M
L
Kit Size | Socks
*
Please Select
US 13 (JR)-3
US 3.5-6
US 7-9
US 10-12
US 13-15
Submit
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