Yara Family Connections
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Yara Basketball School Holiday Clinic Registration
Yara Basketball School Holiday Clinic
Complete this form to book your spot!
Young Persons Name
(Required)
First
Last
Young person's Date of Birth
(Required)
DD slash MM slash YYYY
Do you identify as Aboriginal or Torres Strait Islander (young person)
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Add another young person?
Yes
Young Persons Name
(Required)
First
Last
Young person's Date of Birth
(Required)
DD slash MM slash YYYY
Do you identify as Aboriginal or Torres Strait Islander (young person)
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Add another young person?.
Yes
Young Persons Name
(Required)
First
Last
Young person's Date of Birth
(Required)
DD slash MM slash YYYY
Do you identify as Aboriginal or Torres Strait Islander (young person)
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Caregivers Name (must be an adult)
(Required)
First
Last
Phone
(Required)
Email
Regsiter me for:
Select all that apply. Please note: Young people under the age of 14 need to be signed in and out by an adult on the day.
Age group 8-11yo | 10am to 12 noon
Age group 12-15yo | 1pm - 3pm
Group Conditions:
(Required)
No Dunking. Enclosed shoes must be worn when on the court. No food or drinks on the court. No bullying, harassment or misconduct will be tolerated. Supervision is provided by YFC staff only on the court space. YFC do not hold any responsibility for supervision before or after advertised group times.
I Agree
Photo consent
YFC Staff may take photos that can be used on the YFC website, social media and reports.
I am okay with photos being taken of me/ my children
Please do not take photos of me/ my children
Consent to register
I understand that by completing this form I consent to be registered for services with Yara Family Connections and that personal information will be stored in line with the privacy policy.
I Consent
Email
This field is for validation purposes and should be left unchanged.
Complete this form to book your spot!
Young Persons Name
(Required)
First
Last
Young person's Date of Birth
(Required)
DD slash MM slash YYYY
Do you identify as Aboriginal or Torres Strait Islander (young person)
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Add another young person?
Yes
Young Persons Name
(Required)
First
Last
Young person's Date of Birth
(Required)
DD slash MM slash YYYY
Do you identify as Aboriginal or Torres Strait Islander (young person)
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Add another young person?.
Yes
Young Persons Name
(Required)
First
Last
Young person's Date of Birth
(Required)
DD slash MM slash YYYY
Do you identify as Aboriginal or Torres Strait Islander (young person)
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Caregivers Name (must be an adult)
(Required)
First
Last
Phone
(Required)
Email
Regsiter me for:
Select all that apply. Please note: Young people under the age of 14 need to be signed in and out by an adult on the day.
Age group 8-11yo | 10am to 12 noon
Age group 12-15yo | 1pm - 3pm
Group Conditions:
(Required)
No Dunking. Enclosed shoes must be worn when on the court. No food or drinks on the court. No bullying, harassment or misconduct will be tolerated. Supervision is provided by YFC staff only on the court space. YFC do not hold any responsibility for supervision before or after advertised group times.
I Agree
Photo consent
YFC Staff may take photos that can be used on the YFC website, social media and reports.
I am okay with photos being taken of me/ my children
Please do not take photos of me/ my children
Consent to register
I understand that by completing this form I consent to be registered for services with Yara Family Connections and that personal information will be stored in line with the privacy policy.
I Consent
Name
This field is for validation purposes and should be left unchanged.
