Event registration

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Details

PlayVolley Program Term 3

Sat 22 Aug 2026 09:00 - Sat 26 Sep 2026 09:00

Volleyball ACT

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First name*

Last name*

Phone number*

Email address*

Address*

Full Name*

Date of Birth*

Parent Name*

Relationship to Child*

Mobile Number*

Email Address*

Emergency Contact (if different from above)*

Home Address* Max 255 characters

Are there any medical conditions that the coach should be aware of? Max 255 characters

Please note

Please read the Terms and Conditions by clicking here

I agree to the Terms Of Registration.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*