DARTS Registration Form

My Products

1 Child Half Season

1 child half season enrolment (term 4 2025 or term 1 2026)

$70.00 AUD Quantity

1 Child Full Season

1 child full season enrolment (term 4 2025 and term 1 2026)

$140.00 AUD Quantity

2 Children Half Season

2 children half season enrolment (term 4 2025 or term 1 2026)

$112.00 AUD Quantity

2 Children Full Season

2 children full season enrolment (term 4 2025 and term 1 2026)

$224.00 AUD Quantity

3+ Children Half Season

3 or more children half season enrolment (term 4 2025 or term 1 2026)

$147.00 AUD Quantity

3 + Children Full Season

3 or more children full season enrolment (term 4 2025 and term 1 2026)

$294.00 AUD Quantity

Assisted Swimmer

Swimmer to participate in assisted swims

Free Quantity

T-Shirt

$25.00 AUD QuantitySize

Keep Cup

$13.00 AUD Quantity

String Bag

$10.00 AUD Quantity

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Swimmer's name

First NameLast Name

Swimmer's Date of Birth

Date

Swimmer's name

First NameLast Name

Swimmer's Date of Birth

Date

Swimmer's name

First NameLast Name

Swimmer's Date of Birth

Date

Primary Contact's Full Name

First NameLast Name

Contact Phone Number

Please enter a valid phone number.Format: 0000000000.

Contact Email

example@example.com

I hereby give consent to Bulimba Darts to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself or my child or children (if applicable) to use in any public media, including radio, television, internet, social media.

I acknowledge that Bulimba Darts is a community organisation run by volunteers and from time to time I will be asked to support by BBQ'ing, timekeeping or working in the canteen

I consent to receiving the Bulimba Darts newsletter with information on upcoming swim nights and club information