EmailMe Form - WOLVES AUTUMN HOLIDAY CLINIC 2026

Players Name *

First Last

Gender

Male

Female

Non-binary

Prefer not to say

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

Which clinic would you like to attend? *

Wednesday 8th April to Friday 10th April

Monday 13th April to Wednesday 15th April

Both Clinics: 8/4 to 10/4 & 13/4 to 15/4

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 *

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)