Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Age Group*

13 to 14 yrs

15 to 16 years

17 to 18 years

18+ yrs

Days participant will be attending

Tuesday

Wednesday

Thursday

Friday

General Activity Level*

Not usually very active

Some low-level activity

Reasonably active

High activity level

What sport are you currently involved in?*

Do you consent to being photographed or videoed with the possibility of images being used in reporting & promotional material r the use*

Does you have any allergies or medical conditions requiring medication or may prevent the participation in any of the facets of this program?*

If Yes to the above question, please provide any information we should know about, including medications that need to be taken in program hours. Max. 255 characters

Please note

A Booking fee of $25.00 applies for this event.

ACTIVATE - TEENS+ SPORTING CAMP (13+ Yrs)

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