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Details
FORM - GOALBALL 4 SCHOOLS & UNIVERSITIES
Date TBA
Test venue
Are you attending this event?
Yes
No
Maybe
Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Role (e.g. Learning Support Teacher, Head of Department)*
School/TAFE/University*
Address*
State or Territory*
Please select...
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
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 select...
Yes
No
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*
Please select...
Yes
No
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.*
Submit