Nominate Your Child: Junior Coaching Programs

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JUNIOR COACHING PROGRAMS

Nominate your Child for a Junior Coaching Program at Box Hill Action Indoor Sports. Simply select your Child's preferred Sport and submit your details below and one of our friendly staff will be in touch with you soon to confirm.

Note: All fields marked with * are required.









Select Sesssion:
*
Child's Full Name:
*
Date of Birth:
*
Current School Grade:
*
Address:
Suburb:
State:
Postcode:
Parent's Full Name
*
Email:
*
Phone (Mobile):
*
Phone (Home):
Select Term
Term 1Term 2Term 3Term 4 *

(For Half Program $170 select one term, for Full Program $290 select 2 consecutive terms):

Additional Comments:
**There is an additional $20 nomination fee for first time participants for the provision of a uniform.