Variety Kids Sports Day Launceston

10.00AM to 1.00PM

WED 22nd MAY 2024

ELPHIN SPORTS CENTRE

Please complete this form to register the child(ren) attending the Variety Kids Sports Day.

It's important to the event's success that we have as much information about the participants to ensure we can cater to their needs.

If you have any question contact Variety's team: [email protected] | 03 6248 4888

REGISTRATION FORM

Choose you event location *

CLOSED Sorell: 10.00am – 1:30pm, Tue 7th May, South East Stadium
Ulverstone: 10.00am – 1.00pm, Thu 23rd May, Ulverstone Sport and Leisure Centre
Launceston: 10.00am – 1.00pm, Wed 22nd May, Elphin Sports Centre

Responsible Person Full Name *

Responsible Person email adress *

Best contact number *

School or Individual Registration? *

School
Individual

School/Organisation name

Postcode *

How many participants will attend the event? *

What is the age range of the participants? *

What type of disability the participant(s) have? (check all that apply) *

Physical Disability
Cognitive Disability
Sensory Disability
None
Other

Please indicate if any of the participants (check all that apply) *

Uses a wheelchair
Uses a walker
Has a vision impairment
Has a hearing impairment
None
Other

Please specify if you have chosen "Other" for one of the last two questions above.

How did you hear about Variety Kids Sports Day? *

School
Social Media
Word of Mouth
Variety Mailing
Variety Website
Press (eg. Newspaper, Radio etc)
Other

The children registered under my responsibility have permission for Variety to use their images for marketing purpose, except the children below: *

Please let us know if there is any extra information we should be aware.

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