Para Squad Enquiry Form - Sporting Wheelies

Sports for Children 2024 – Para Squad

a multi-sport program for children!

What best describes your enquiry?(Required)

I’d like to sign up my child for Para Squad program

I would like further information on Para Squad Multi sports

Others

Child's Name(Required)

First Last

Child's date of birth(Required)

Diagnosis or condition details (no need to fill in if you are an existing client)

Parrent/Carer's Name(Required)

First Last

Parent/Carer's Phone Number(Required)

Parent/Carer's Email(Required)

Please let us know if you have any other questions?(Required)

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