Basketball Wellbeing Workshop Registration
Register for life after school basketball-themed wellbeing workshop at The Goldfields Oasis Recreation Centre on 23 October 2026.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What year are you finishing in 2026?
*
Please Select
Year 12
Year 11
Other
Do you have any dietary requirements?
How did you hear about this event?
School
Friend
Social Media
Other
Do you have any questions or anything you'd like us to know?
Age
*
Consent
*
Parent / Guardian Name
Parent / Guardian Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
*
Please enter a valid phone number.
Format: (000) 000-0000.
Register
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