EmailMe Form - WOLLONGONG WOLVES SUMMER HOLIDAY CLINIC

WOLLONGONG WOLVES SUMMER HOLIDAY CLINIC

Venue - ALBERT BUTLER MEMORIAL PARK and MEMORIAL PARK CORRIMAL
Dates - Monday 20th January - Wednesday 22nd January (ALBERT BUTLER MEMORIAL PARK)
and/or
Tuesday 28th January - Thursday 30th January 2025 (MEMORIAL PARK CORRIMAL)
Times - 9.00am to 2.00pm
Cost - $165

Additional - $30 if you would like to purchase a Wolves shirt or full kit (shirt, shorts and socks) for $50

An invoice will be emailed to you shortly after this form is submitted.

Feel free to contact us with any questions on admin@wollongongwolves.com.au

Players Name *
First Last
Email *
Would you like to attend the clinic on: *
Monday 20 January - Wednesday 22nd January 2025 (Albert Butler Memorial Park)
Tuesday 28th January - Thursday 30th January 2025 (Memorial Park Corrimal)
Both Clinics - 20/01/2025 to 22/01/2025 and 28/01/2025 to 30/01/2025
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 *
Optional Purchase

PURCHASE SHIRT, SHORTS AND SOCKS AT DISCOUNTED RATE $50

- Please select your shirt size - Shirt - $30
Please select your short size - $15
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)