Community Group/School Play Program Expression of Interest

Name *

Address

Suburb/City *

Postcode *

Type of Group

School or Play Centre

Non-profit Organisation

Community Group or Centre

OtherOther

First Name *

Last Name *

Position

Phone

Mobile

Email Address *

Age groups of players

Preschool - Ages 3-5 years

School Age - 5 - 12 years

Teens - 13 - 17 years

Youth - 18 - 25 years

Adults - 25+

Tell us a bit about who you work with and why you are interested in sporting programs for them:

What times would you like the sessions to run?

Morning

Afternoon

Evening

Is there anything else you would like to share or ask?

Newsletter

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