Mallee Sports Assembly Sport & Active Recreation Directory

Information requested will be used within Mallee Sports Assembly for current and future programs. We appreciate your time and effort in completing the following, which hopefully will increase your membership and further promote your organisation.

Question Title

* 1. Sports Type

Question Title

* 2. Local Government Area (LGA)

Buloke

Gannawarra

Mildura

Swan Hill

Other (please specify)

Question Title

* 3. Organisation

Question Title

* 4. Organisation Type

Sporting Club

Association

League

Other (please specify)

Question Title

* 5. Organisation Address

Venue Address

Postal Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Question Title

* 6. First Contact

Name

Email Address

Phone Number

Question Title

* 7. Second Contact

Name

Email Address

Phone Number

Question Title

* 8. Age Groups Catered for

5-12yrs

13-20yrs

21-40yrs

41-64yrs

65+

Other (please specify)

Question Title

* 9. Activities catered for

Junior Programs

Senior Program

Disability

Multicultural

Aboriginal

Female

Male

Other - please list

Question Title

* 10. Mallee Sports Assembly Members

Yes

Mallee Sports Assembly Team
Thanks you for supplying the above information and if you require more information please contact the Mildura office on 5021 3464 or email: info@malleesportsassembly.org.au