ABOUT
About Us
Our People
Our Story
Our Supporters
Sun Protection Policy
Contact Us
NEWS
PLAY
Play Program
Play for Under 5’s
B-Active School Holiday Program
Program Calendar
COACH
Volunteer Coaching
Volunteer Expression of Interest
EVENTS
Event Calendar
SERVICES
Portable Field
Van Rental
DONATE
Make a Donation
Make an In-Kind Donation
Play Program Registration
Child Play Program Registration T4 2015
Players Details
First Name
*
Last Name
*
Date of Birth
*
Gender
Male
Female
Medical Conditions and Medication
Please ensure you detail any medication that might need to be dispensed during a Return Serve session and how to dispense it.
Media Release - From time to time, Return Serve will take photos and video at our program for promotional purposes. Do you authorise the use of you child's name, photos, or other media which includes your child to be used by Return Serve?
*
Yes
No
Parent Caregiver Details
First Name
*
Last Name
Address
Suburb/City
*
Postcode
*
Email Address
Phone
Mobile
*
Contacting You
Yes! Return Serve can contact me by phone or text message with information regarding my child's session i.e. cancellations
Yes! Return Serve can add me to their email newsletter for monthly updates and news (you can unsubscribe at any time)
Program Details
Which program would you like to enrol for?
*
Western Suburbs Special School (School Group) - Tues 11.30am
Mabel Park State School (School Group) - Thurs 3pm
St Pauls Primary (Play Group) - Fri 10am
St Francis College (School Group) - Fri 7.40am
St Francis College (Play Group) - Fri 9am
Mabel Park State School (Play Group) - Fri 11am
If your child is attending an after school program, how will they be getting home?
Being picked up by parent/caregiver or approved family member or friend
Getting home on their own i.e. walking or biking
Other
Other
Email