EmailMe Form - WOLLONGONG WOLVES JULY HOLIDAY CLINIC

Players Name *
First Last
Email *
Would you like to attend the clinic on: *
Monday 8th July - Wednesday 10th July 2024
Monday 15th July - Wednesday 17th July 2024
Both Clinics - 8/7/24 to 10/7/24 and 15/7/24 to 18/7/24
Players Date of Birth *
DD / MM / YYYY
Phone *
### - ### - ####
Players FFA Number
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Active Kids Voucher
Please select the relevant age group: *
Are you a goalkeeper *
Please select your shirt size *
Optional Purchase

PURCHASE SHIRT, SHORTS AND SOCKS AT DISCOUNTED RATE $50

- Please select your short size - Shorts - $20
Optional Purchase

- Please select your sock size - Socks - $15
Name of player's current club:
Do you give permission for your child's photo to be taken and used. *
Parents Name
First Last
Where did you hear about the Wolves Holiday Programs *
Have attended previous camps
Club Website
Email from Wolves
Parents Guide Illawarra
Facebook Post
Instagram
Please indicate which friends your son or daughter would like to be with (We will do our best to group them together)
If you have a medical condition the coaches should be aware of, please provide further information below.
Message (Optional)