* 1. Contact details

* 2. What sessions would you like to register for?

* 3. Does the participant have any special needs, disabilities or illness's that we should be aware of?

* 4. How did you hear about the All Girls Auskick 'Come and Try' Clinic

* 5. If you were referred from an Auskick Centre or Football Club, please list below. If you weren't you do not need to answer this question.

Thank you for registering for the All Girls Clinic. The details are below:

Location: Lewis Park, Wantirna South

Clinic times: 5pm—6:30pm             

Dates: Friday 10th, 17th, 24th and 31st of March.

If you have any further questions please contact Sean on 9762 5766 or sbuncle@efl.org.au