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Details

FORM - GOALBALL 4 SCHOOLS & UNIVERSITIES

Date TBA

Test venue

Are you attending this event?

Yes No Maybe

First name*

Last name*

Phone number*

Email address*

Address*

Role (e.g. Learning Support Teacher, Head of Department)*

School/TAFE/University*

Address*

State or Territory*

Phone number*

Confirm email address*

Do you have any vision impaired/blind students? If so, please specify how many* Max. 255 characters

Does your school/TAFE/University have an indoor hall or gymnasium to host a Goalball demonstration*

Please provide information on your preferred days and times to hold the demonstration* Max. 255 characters

How many students in total would be learning Goalball during the demonstration*

How many teachers will be present during the demonstration*

Is your school/TAFE/University interested in progressing to the regional and state rounds of Goalball competitions*

Additional information or questions Max. 255 characters

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*