Cyclone Cubs Registration

Cyclone Cubs Registration

Term 1
Childs Name*

First NameLast Name
Childs DOB*

MonthDayYear
Date
Parent Contact Name*

First NameLast Name
Parent Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Venue*
Does your child have any medical conditions our Coaches need to be aware of?*
Please include allergies or behavioural.
Do you give permission for your child to be videoed/photographed and used on our social media?*

YesNo
Term 1 Dates

PBC - start date Friday 13th Feb (7 weeks)

Gold Coast Eagles - start date Friday 13th Feb (7 weeks)

Coomera - start date Sunday 15th Feb 8am (7 weeks)

Cost: $150per term
Should be Empty: