2027 JUNIORS PROGRAM EXPRESSION OF INTEREST
MiniRoos Club Program - Boys and Girls 7-12 years
Parent/Guardian Name 1
*
First Name
Last Name
Parent/Guardian Name 2
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: 0400 000 000.
Email Address
*
example@example.com
Postcode
*
Your Child's Name
*
First Name
Last Name
Child's Gender
*
Male
Female
N/A
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Has your child taken part in a MiniRoos Program before?
*
Yes - at ETA Buffalo SC
Yes - at another club
No - new to the sport
Previous Club/s
If applicable.
Would you like to express interest for another child?
*
Yes
No
Please provide their details:
*
Full name, gender and date of birth
Are you interested in coaching or a team manager role?
*
Yes
No
How did you hear about ETA Buffalo SC?
*
Save
Submit
Should be Empty: