EmailMe Form - WOLVES SPRING HOLIDAY CLINIC

Players Name *
First Last
Email *
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
- 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)