Program Registration

Please fill out this form to register for our program.

Who is this form being filled in by

Athlete

Parent or Guardian

Athlete's full name

Parent/ Guardian's full name

Birthday

Day

Month

Year

Email address

Phone number

Service selection

Advise what day and times suites you best.

Athlete's Level

Gender

VJBL Association

Team grade

Playing age

What does the athlete/s want to work on?

Is there anything else you'd like us to know?

Game tape (optional, but it does help us place the athlete in the right group)

MP4 . MOV . AVI . WEDM . Up to 500MB per file

How did you hear about us?

Would you like to subscribe to our marketing updates to stay informed about term enrolments, upcoming events, and program announcements? We keep our communications relevant and avoid excessive emails.