Junior Touch Football Clinics

Question Title

* 1. Name of Participant

Question Title

* 2. Date of Birth

Date / Time

Date

Question Title

* 3. Email address

Question Title

* 4. Contact name and number

Question Title

* 5. Have you downloaded the COVIDSafe app?

Yes

No

Question Title

* 6. Next of Kin/Emergency contact details

Name

Email Address

Phone Number

Question Title

* 7. Level of Touch Football experience

Beginner

Intermediate

Advanced