Wallabies Registration

Participant Information

Please enter information about the Wallabies participant in the boxes below.

Name:

Date of Birth:

format: mm/dd/yyyy

Shirt Size:

Parent Information

Please enter contact information about the parents or guardian of the Wallabies participant in the boxes below.

Parent Name:

Parent Email:

Parent Phone:

format: 000-000-0000

Parent Address:

Emergency Contact:

Wallabies Programs:

Please select all of the Wallabies programs you wish to register in.

Cost per session: $120

All Wallabies Session will take place at St Paul's CHS MAP