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Mini Matildas
School Registration of Interest
Term 4 2023 & Term 1 2024
A Ballarat & District Soccer Association initiative in partnership with Sports Central.
*
1.
School Name
(Required.)
*
2.
School Contact Details
(Required.)
Contact Person
Phone
Email
*
3.
Please select the weeks that your school would like to run the program (select more than one if you have flexibility).
(Required.)
Term 4, 2023 - weeks 3-6
Term 4, 2023 - weeks 7-10
Term 1, 2024 - week 2-5
Term 1, 2024 - weeks 6-9
4.
Please select the days and times your school would be available to run the program.
Morning Class Time
Lunch
Afternoon Class Time
After School
Monday
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
Tuesday
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
Wednesday
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
Thursday
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
Friday
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
-- Select an option --
Yes
*
5.
List your top three preferred days and times to run the program.
(Required.)
1
2
3
6.
How many girls will you be able to get to participate in the program?
Less than 12 girls
Between 13-15 girls
*
7.
Please state whether your school will participate in the Mini Matildas Cup in March 2024
(Required.)
Yes
No
Unsure
8.
Do you have any questions or comments regarding this opportunity?
