School Clinic Registration

School Name

School Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Will the school clinic be at a different location to the school address?

School Email

School Phone Number

Teacher Contact Name

Teacher Phone Number

Teacher Contact Email

Which School Term would you like to book a clinic?

Number of weeks you would like to book in for (minimum 4 weeks)?

What type of School Clinic would you like to book?

Intro Clinic (one-off free session)

Beginner Skills

Intermediate Skills

Advanced Skills

Preferred day/s of clinic

Preferred Dates for Sessions?

Total number of participants (Years K-2, Years 3–4. Years 5–6, Years 7+)

Does you school have a netball court and posts available for the School Clinic?

Does your school have a wet weather option available?

Additional Comments (e.g. do any students require additional support?)