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Recruitment
Holiday Clinic Quotation Form
Organisation:
*
Address:
*
Telephone:
*
Facsimile:
*
Email:
*
Contact Name:
*
PROGRAM DETAILS
Sports Program:
*
Sports Specific
Multi-Sport
Recreational Activity (Please contact for activities provided)
Sports:
*
AFL
Athletics
Basketball
Cricket
Netball
Soccer
Gymnastics/Circus Skills
Ultimate Frisbee
Aerobics/Dance
Thunder Hockey
Softball/T-ball/Rounders
Volleyball/Newcombe
Fitness/Boot Camp
European Handball
Touch Rugby
Potential Date(s):
Length of Clinic:
*
1.5 hours
2 hours
3 hours
Participant Numbers
Prep - Grade 2:
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Grade 3 - 4:
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Grade 5 - 6:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Additional Information
Please outline if you have any other specific requirements:
Sssh: