Soccer Mums Come and Try Session RSVP Form
To help Mums experience the program without worrying about commitment and payment, Soccer Mums offers free come and try events so you can try before you buy into a program!
Please select your Soccer Mums Location:
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Brunswick City - Wednesday 5:30-6:15pm
Glen Eira - Tuesday 6:30-7:30pm
Mount Martha - Friday 9:15-10:15am
Mount Martha - Saturday 9:15-10:15am
Stawell - Friday 5:30 - 6:30pm
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Number
*
Mobile Number
*
-
Area Code
Phone Number
Year of Birth
*
Emergency Contact Details: (Name, Mobile Number and Relationship to participant)
*
Are you associated with a Soccer Club?
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Yes
No
If so, which Soccer Club?
If so, in what capacity?
Player
Team Manager
Coach
My child or children play soccer
Club Volunteer
Other
Where did you hear about the Soccer Mums Free Session Offer?
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VicHealth Soccer Mums Social Media /Website
A friend or family member
Your Clubs Facebook page
VicHealth - This Girl Can Vic
Other
If you have selected other, please specify below:
*
Please read through and agree to the below terms and conditions before clicking Submit
*
Submit
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