Yara Basketball After School registration form

Yara Basketball After School Group 2024

Complete this form to book your spot!

Young Persons Name(Required)

First Last

Young person's Date of Birth(Required)

Do you identify as Aboriginal or Torres Strait Islander (young person)

Aboriginal

Torres Strait Islander

Aboriginal and Torres Strait Islander

Caregivers Name(Required)

First Last

Phone(Required)

Fees(Required)

Please select if you are paying your fees or would like to apply for a scholarship (no cost)

I can pay the fee myself or am a NDIS client

I would like to submit for a PART scholarship and I will pay the remainder myself

I would like to submit for a FULL scholarship – No Fees

NDIS, Fee-for-service and sponsored positions available

Fees cover the 11 week group with each session running for 1.5hrs.

NDIS

We are able to support young people who have NDIS which is Self-Managed or Plan-Managed. Please enter your NDIS number here and provider details.

Comments

This field is for validation purposes and should be left unchanged.