Water Polo School Holiday Program
School Holiday Program suitable for children aged 9-15 years. 27th-30th September 2016 from 10.30am. A grading session will be held on Tuesday 27th September at 10.00am to determine suitability for introduction (finishing each day at 12.00pm) or junior program (finishing each day at 12.30pm)
Childs Name *
Enter the first & last name of the player
Your answer
Childs Address *
Your answer
Childs Gender *
Tick Male or Female
Required
Childs Date of Birth *
Enter Players DOB (Month First)
MM
/
DD
/
YYYY
What school does your child attend? *
Your answer
Do you want to register for the weekly program? *
Registration is for a 4 day program from10-00am Tuesday 27th-Friday30th (grading 9.30am Tuesday), total cost $110
Next
Never submit passwords through Google Forms.
This form was created inside of Tuggeranong Vikings Water Polo Club. Report Abuse - Terms of Service - Additional Terms