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GIANTS Netball Orange Junior Clinic Registration

1.Parent/Guardian Details

Parent First Name

Parent Last Name

Email

Phone

2.First Junior Participant

Child First Name

Child Last Name

DOB

Netball Association (if applicable)

3.Are there any medical conditions / information relevant for this participant?

4.Second Junior Participant (if applicable)

Child First Name

Child Last Name

DOB

Netball Association (if applicable)

5.Are there any medical conditions / information relevant for this participant?

6.Third Junior Participant (if applicable)

Child First Name

Child Last Name

Child DOB

Netball Association (if applicable)

7.Are there any medical conditions / information relevant for this participant?

8.Fourth Junior Participant (if applicable)

Child First Name

Child Last Name

Child DOB

Netball Association (if applicable)

9.Would you like to receive information on 2022 GIANTS Membership (Regional & Non Ticketed options available)

Yes please!

No thank you :)

I am already a 2022 GIANTS Netball Member

Current Progress,

0 of 9 answered