Sports Registration Form for 6-Week School Holidays

1
Child's Full Name* This field is required.
First Name
Last Name
2
Child's Date of Birth* This field is required.
Date
Day
Month
Year
3
Parent/Guardian Full Name* This field is required.
First Name
Last Name
4
Parent/Guardian Contact Number* This field is required.
Please enter a valid phone number.
5
Parent/Guardian Email Address* This field is required.
example@example.com
6
What Location Are You Interested In?
Please Select
Please Select
Olds Park, Penshurst
Parc Menai, Menai
Killara Reserve, Panania
Scarborough Park, Monterey
Bexley Oval, Bexley
Peakhurst Park, Peakhurst
Padstow Park, Padstow
Arncliffe Park, Arncliffe
7
Discount Code?Do you have a discount code from one of our community partners? If yes please leave it below!
Should be Empty: