Please ensure Javascript is enabled for purposes of website accessibility

Club registration form - School Holiday Program

Required fields are marked with an asterisk (*).
Club Registration Form - School Holiday Sports Program
No spaces between numbers - EG: 0412345678
Please include postcode
Activity information - 1 (please add a separate entry for each activity/session you will run)
eg: 01/04/2020 10:30am
eg: 12:30pm
eg: 8-12
eg: 20
eg: Football skills
eg: sports shoes and drink
Activity information - 2
eg: 01/04/2020 10:30am
eg: 12:30pm
eg: 8-12
eg: 20
eg: Football skills
eg: sports shoes and drink
Activity information - 3
eg: 01/04/2020 10:30am
eg: 12:30pm
eg: 8-12
eg: 20
eg: Football skills
eg: sports shoes and drink
Activity information - 4
eg: 01/04/2020 10:30am
eg: 12:30pm
eg: 8-12
eg: 20
eg: Football skills
eg: sports shoes and drink
Activity information - 5
eg: 01/04/2020 10:30am
eg: 12:30pm
eg: 8-12
eg: 20
eg: Football skills
eg: sports shoes and drink
Activity information - 6
eg: 01/04/2020 10:30am
eg: 12:30pm
eg: 8-12
eg: 20
eg: Football skills
eg: sports shoes and drink
Activity information - 7
eg: 01/04/2020 10:30am
eg: 12:30pm
eg: 8-12
eg: 20
eg: Football skills
eg: sports shoes and drink
Activity information - 8
eg: 01/04/2020 10:30am
eg: 12:30pm
eg: 8-12
eg: 20
eg: Football skills
eg: sports shoes and drink

NOTE: You are welcome to submit more than 6 activities, by submitting another/separate online registration form.

Registration agreement

By ticking the box below you and your organisation are registering our involvement in the School Holiday Sports program, our organisation understands:

  • It will conduct a free supervised physical activity session(s) at our club venue or suitable alternative.
  • The program will cater for school-aged children OR younger children subject to negotiation.
  • It will provide appropriately experienced and/or qualified persons who hold a current Working with Children Check.
  • It will conduct activity in a safe manner and adhere to reasonable ratios of coaches to children to ensure maximum activity time for all participants.
  • Ensure all activities adhere to any prevailing COVID-19 related guidelines and protocols.
  • It will provide copies of its Certificate of Incorporation and Public Liability Insurance.
Registration agreement
Registration agreement *

Please click the 'Submit' button below to finalise your application.

Do not leave this page until you see a confirmation screen.

Please be patient as the form can take a few minutes depending on the size of your file uploads and your internet connection.