SASMA Concussion Education Program

Express your interest in SASMA's new Concussion Education Program being rolled out in the coming months across the SA community.

The subsidised course fee is $330.00 (inc GST).

Club / School / Council / Organisation / Individual / Other*

Postcode*

Contact Person*

First NameLast Name

Role within Club / Organisation / etc*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Can you host an event?*

Expected attendee numbers?*

Would you be interest in collaborating with other local clubs/partners?*

If YES, please list below and expected attendee numbers:

Additional Comments / Considerations