Tempe VB USyd Junior Rep Team Program EOI

Full Name *

First

Last

Age *

Email *

Which suburb do you live in? *

Parent/Guardian Full Name *

First

Last

Parent/Guardian Email *

Which age group are you interested in? You must be below this age in December 2023. *

Under 14s
Under 16s
Under 18s

Experience – Please give any details of your previous playing experience e.g. Which leagues you have played in, what position you play, have you played SVL before?

I wish to use an Active Kids Voucher – The actual voucher(s) as received from NSW Government must be emailed to tempevb@gmail.com

Please enter your VBNSW registration number here if already known

Voucher Number

Name as shown on voucher

I wish to use

1 x $100 voucher – The actual voucher(s) as received from NSW Government must be emailed to tempevb@gmail.com
2 x $100 vouchers – The actual voucher(s) as received from NSW Government must be emailed to tempevb@gmail.com

Liability Waiver *

I agree for me or my child/ward to attend the Centre/Venue and to undertake all activities and/or to participate in the above program.
I understand that although Tempe Volleyball (Sydney University Volleyball Club SUVC) and its service providers attempt to minimise any risk of personal injury within practical boundaries, accidents do happen and all physical activities carry the risk of personal injury. I acknowledge that there is an inherent risk of personal injury in physical activities that will be undertaken at the Centre as part of the program and I accept that risk.
I consent to any photographs or videos taken at all Tempe Volleyball (SUVC) events to be published on social media and/or the Tempe Volleyball (SUVC) websites for promotional purposes.