Swans Junior Clinic - Coffs Harbour

Thank you for resgistering to attend the Coffs Harbour Sydney Swans Junior AFL Clinic on Thursday, January 30, 2014. To complete the registration process, please complete the details below.

Question Title

* 1. Details of child participating in the clinic:

First name:

Surname:

Date of Birth:

Question Title

* 2. How many additional children will be attending the clinic?

0

1

2

3

4

5

6+

Question Title

* 3. Ages of children participating in the clinic

Question Title

* 4. Parent/Guardian Details:

Name:

Contact Number:

Email: