Nominate your Child: School Holiday Programs

SCHOOL HOLIDAY PROGRAMS

Nominate your Child for our School Holiday Program at Box Hill Action Indoor Sports. Simply select your Child’s preferred session, submit your details below and one of our friendly staff will be in touch with you soon to confirm.

    Select Sport & Session:

    *

    Child's Full Name:

    *

    Date of Birth:

    *

    Current School Grade:

    *

    Address:

    Suburb:

    State:

    Postcode:

    Parent's Full Name

    *

    Email:

    *

    Phone (Mobile):

    *

    Phone (Home):

    How did your hear about us:

    *

    Additional Comments: