Junior Program Free Trial Request Form
Register for a Free Trial at any of our Junior Programs!
Child's Full Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
School Year Group
*
Gender
*
Male
Female
Parent/Guardian Full Name
*
Parent/Guardian's Email
*
example@example.com
Parent/Guardian's Mobile Number
*
Which Program Location? (If you would like to trial at multiple locations please submit the form again for that location.)
*
John Septimus Roe - Indoor Hardcourt [Monday] (4-5:30PM)
Cockburn CRC - Outdoor Beach [Monday] (6-7PM)
Providence Christian College - Indoor Hardcourt [Monday] (YR7-9s ~ 4:45-6:15PM)
Providence Christian College - Indoor Hardcourt [Monday] (YR10 - 12s ~ 6:15-7:45PM)
Osborne Park - Indoor Beach [Tuesday] (5:45-6:45PM)
Port Kennedy - Indoor Beach [Tuesday] (5:50-6:50PM)
Canning Vale - Indoor Beach [Thursday] (6:30-7:30PM)
La Salle College - Indoor Hardcourt [Thursday] (YR7-9s ~ 5-6:30PM)
La Salle College - Indoor Hardcourt [Thursday] (YR10-12s ~ 6:30-8PM)
Wesley College - Indoor Hardcourt [Friday] (7-8:30PM)
Fremantle - Indoor Beach [Friday] (5:30-6:30PM)
Trinity College - Indoor Hardcourt [Saturday] (Girls ~ 2PM-3:30PM)
Trinity College - Indoor Hardcourt [Saturday] (Boys ~ 3:30PM-5PM)
Any Additional Information? (Allergies, Injuries, Conditions, ect.)
Submit
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