Private Session

Athlete Details
Athlete Name

First NameLast Name
Athlete Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Athlete Gender
Your Queensland School Council Region
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Use the online search tool find out which Queensland Council Region your school belongs to.
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Athlete's Year Level
Athlete's School
Is the Athlete prescribed an inhaler? If yes, please describe instructions. Does the Athlete have any allergies, chronic illnesses, or medical conditions? If yes, please describe. (N/A if Not Applicable)

Parent/Guardian Details

Please ensure the following details are correct and true.
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email

Confirmation Emailexample@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: 0400 000 000.
Formatted Phone Number for Active Campaign
Please enter a valid phone number.Format: +610000000000.
Emergency Contact Details

Please ensure the following details are correct and true.
Emergency Contact Name

First NameLast Name
Emergency Contact Mobile
Please enter a valid phone number.Format: 0000 000 000.
Emergency Contact Relationship

Second Athlete Details
Second Athlete Name

First NameLast Name
Second Athlete Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Second Athlete Gender
Second Athlete's Grade
Is the Athlete prescribed an inhaler? If yes, please describe instructions. Does the Athlete have any allergies, chronic illnesses, or medical conditions? If yes, please describe. (N/A if Not Applicable)

Second Parent/Guardian Details

Please ensure the following details are correct and true.
Second Parent/Guardian Name

First NameLast Name
Second Parent/Guardian Phone Number
Leave blank if the same as first parent mobileFormat: 0400 000 000.
Second Parent/Guardian Email

Confirmation EmailLeave blank if the same as first parent email
Second Athlete Emergency Contact Details

Please ensure the following details are correct and true.
Second Athlete Emergency Contact Name

First NameLast Name
Second Athlete Emergency Contact Mobile
Please enter a valid phone number.Format: 0000 000 000.
Second Athlete Emergency Contact Relationship

Playing Experience
Has the Athlete attended a Sharks Volleyball Event? (e.g. Weekly Junior Session/Sharks Camp)
How did you hear about us?

Private Session 1-on-1

1-hour session with a coach and 1 athlete.

$175.00 AUD

Private Session 1-on-2

1-hour session with a coach and 2 athletes.

$240.00 AUD

Enter coupon

Total

Credit Card

Apple Pay

Total Amount - Don't Delete
Session Focus Area/s:
Emergency Contact/s for the Athlete/s:
Confirmations and updates will be sent to the below email and email phone number:
Inhaler/Allergies for both athletes
You are about to register for a {forThe272} at {at273}
This information is correct and I am happy to proceed
Disclaimer

To submit your registration, please read and agree to the following Policies and Procedures and Medical Release Authorisation.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature
To submit registration, please agree to the following
Please note that cancelling or asking to reschedule your Private Session on the day of your booked session will not warrant a refund or credit for a future session.
To view our "Policies and Procedures" and "Medical Release Authorisation", please visit our website www.sharksvolleyball.com/policies
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Location
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Private Session Booking Form