Club Changer Workshop Registration Form

1

Club Name* This field is required.

2

Your Contact Details* This field is required.

First Name

Last Name

Email address

Phone Number

4

Please list the name and position of Club Reps in attendance.* This field is required.(Eg. Alice Johns - President, Tim Taylor - Secretary, Jordan Thompson - Senior Women's Coach, etc)

6

Please list any additional topics you would like discussed in this workshop or future workshops.