Screen Reader Mode Icon

Pakenham Switch registration

 The Switch program is a multi week female only program for any woman who wants to get active in a fun and inclusive environment.
 Switch focuses on the fun and social benefits of Touch football, which enables an enjoyable and easy switch into social sport.
To be apart of this free program all you need to do is fill in the registration form below 

The program will be at James Bathe Reserve, 67 Caversham Drive from 6:00pm - 7:00pm on the following days :
Wednesday 17th March
Wednesday 24th March
Wednesday 31st March

Please note that alongside this program will be running a Youth In Touch program. Youth In Touch (YIT) is a joint initiative of Touch Football Victoria (TFV) and VicHealth to grow participation in physical activity and encourage healthy living of youth across Victoria. If you want to register your child you can do it here Youth in Touch registration

Please note your non-identifiable data will be provided to LaTrobe University on behalf of VicHealth.

Question Title

* 1. First name

Question Title

* 2. Surname

Question Title

* 3. Email

Question Title

* 4. Phone number

Question Title

* 5. Gender

Question Title

* 6. Date of birth

Question Title

* 7. What is your street address?

Question Title

* 8. What is your postcode

Question Title

* 10. Other than a Medicare card, are you the holder of a health care card or a pensioner concession card? Health care cards are issued by Centrelink and are different to Medicare cards.

Question Title

* 11. Are you the parent or carer of any children in your household? This includes children over 18 years.

Question Title

* 12. Where were you born?

0 of 19 answered
 

T