Walking Basketball Expression of Interest to Deliver

Please complete the questions below

Question Title

* 1. Organisation name

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* 2. Address

Street Address

Postcode

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* 3. Contact person

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* 4. Email

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* 5. Phone

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* 6. Are you a registered Basketball Victoria Association?

Yes - go to question 9

No - go to question 7

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* 7. If no what type of organisation are you? ie. Local Government, Aged Care facility, community group

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* 8. If no are you aware of or have you contacted your local basketball association?

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* 9. Do you have access to a suitable venue for delivery of the program?

Yes - please go to question 10

No - please go to question 11

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* 10. Venue details - Basketball Victoria will conduct an audit of unfamiliar venues to assess suitability

Venue Name

Adress

Postcode

Number of courts

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* 11. Do you have a group/s of people interested in participating in the program?

Yes - please provide details below

If yes, how many people, age range, gender, day and time group meet

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* 12. Do you have a staff/volunteer member to deliver the program?

Yes - please provide details below

If yes, are they staff or volunteer, basketball knowledge

Walking Basketball Expression of Interest to Deliver

Please complete the questions below

Question Title

* 1. Organisation name

Question Title

* 2. Address

Question Title

* 3. Contact person

Question Title

* 4. Email

Question Title

* 5. Phone

Question Title

* 6. Are you a registered Basketball Victoria Association?

Question Title

* 7. If no what type of organisation are you? ie. Local Government, Aged Care facility, community group

Question Title

* 8. If no are you aware of or have you contacted your local basketball association?

Question Title

* 9. Do you have access to a suitable venue for delivery of the program?

Question Title

* 10. Venue details - Basketball Victoria will conduct an audit of unfamiliar venues to assess suitability

Question Title

* 11. Do you have a group/s of people interested in participating in the program?

Question Title

* 12. Do you have a staff/volunteer member to deliver the program?

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* 13. How did you hear about Walking Basketball?

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* 14. Please provide any additional relevant information about your organisation and interest in Walking Basketball