School Holiday Lacrosse Camp
Sorry registrations have now closed. For any queries email subidevelopment@gmail.com
Child's Full Name
*
First Name
Last Name
Birth Date
*
-
Day
-
Month
Year
Date
Gender
*
Please Select
Male
Female
Non-binary
Different Term
Parent Phone Number
*
Format: 0000 000 000.
Parent E-mail
*
What day/s are you registering your child for?
*
Please Select
Day 1 - 7th July
Day 2 - 8th July
Day 1 and Day 2 - 7th and 8th July
Level of lacrosse experience? (this allows us to group your child correctly)
*
Please Select
Beginner (never tried before)
Beginner (have tried a few times before)
Current player
State/National player
Any Allergies or Dietary Requirements?
*
Any Medical Conditions or Special Considerations (i.e. learning difficulties)?
*
I acknowledge that Subiaco Lacrosse Club may capture my child's image during this program for promotional purposes, including social media, websites, and print materials. I understand that these images may be used to publicise this event and similar activities. I hereby consent to the use of my child's image.
*
Yes
No
My Products
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Day 1 - 7th July
$80.00 AUD
$
80.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Day 2 - 8th July
$80.00 AUD
$
80.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Day 1 and Day 2 - 7th and 8th July
$120.00 AUD
$
120.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
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