Details

FORM - I WANT TO VOLUNTEER, COACH OR OFFICIATE GOALBALL

Date TBA

Test venue

Are you attending this event?

Yes No Maybe

First name*

Last name*

Phone number*

Email address*

Address*

Date of birth*

Confirm email address*

Are you interested in volunteering, coaching and/or officiating*

Volunteering

Coaching

Officiating

Where would you like to be involved*

Are you vision impaired/blind? If so, please provide further details on sight* Max. 255 characters

Have you played, coached, officiated or volunteered in Goalball before* Max. 255 characters

Would you be willing to travel interstate for Goalball tournaments or training camps*

Do you have a current Working with Children Check*

Do you have a current first aid certificate*

Emergency contact person (if under 18)

Emergency contact phone number (if under 18)

Additional information or questions Max. 255 characters

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*