Registration Form - One Ball

Parent first name*

Parent last name*

Relationship to child*

Do you have a health care card?*

What languages are spoken in the home?*

Email*

Mobile*

Example: 04xxxxxxxx

Suburb*

Post code*

Child/Player Details

Child's first name*

Please enter your child's preferred name

Child's last name*

Child's birthdate*

DD/MM/YYYY

Gender*

Does your child have medical conditions we should know about?*

Please let us know*

Example: Asthma, Epipen, Injury

What is your child's country of birth?*

Please select the size of your child’s uniform *

About our Program

One Ball Offers Weekly Programs for term three, 2021

Please choose where your child would like to play*

The program costs $99 per year. We will send you an invoice once we have confirmed a place for your child on the team.

Please choose which day your child would like to play*

Please choose what time your child would like to play*

One Ball offers scholarships for players who are experiencing financial hardship.

Do you require a scholarship?

In Case of Emergency please contact

Emergency contact name*

Emergency contact number*

Example: 04xxxxxxxx

Emergency contact relationship to child*

How did you find this program?*

*I consent to the Terms and Conditions of registration.

If you wish to register more children to play from your family you will be able to do so after you confirm this page.