PORT LINCOLN 'GAMEREADY' HOLIDAY CLINIC
Registration form
Personal Information
Parent/Guardian
Name
*
First Name
Last Name
Email
*
example@example.com
Player Information
Age Group
*
9 - 14 Years Old
Please select day:
*
BOTH DAYS - Tuesday 30th September Wednesday 1st October (9.30am - 2.00pm)
SINGLE DAY - Tuesday 30th September (9.30am - 2.00pm)
SINGLE DAY - Wednesday 1st October (9.30am - 2.00pm)
Player details
*
Do you give consent for the above player to have their photo taken across the GAMEREADY clinic? (will be used for social media advertising purposes)
Yes
No
Puma Size Guide
Please select shirt size (based on sizing chart above)
*
152
164
XS
S
M
Has any player been identified as living with a disability?
*
Yes
No
Please specify
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GAMEREADY HOLIDAY CLINIC - BOTH DAYS
Please buy a ticket for each registered player
$
150.00
AUD
Quantity
1
2
3
4
GAMEREADY HOLIDAY CLINIC - SINGLE DAY
Please buy a ticket for each registered player
$
75.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit registration
Should be Empty: