Nominate Your Child: Junior Coaching Programs - Box Hill
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Nominate Your Child: Junior Coaching Programs

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):

    *

    Select Term

    Term 1Term 2Term 3Term 4
    *

    ($200 for one term, and $150 for each consecutive term after that if paid in
    advance):

    How did your hear about us:

    *

    Additional Comments:

    **There is an additional $40 nomination fee for first time participants for
    the provision of a uniform.