Fortix

Join us for our new Perth Social Sitting Volleyball League!

This 6 week roster will run on Wednesday nights from 6-7:30pm at Trinity College, from 6th November until the 11th of December. The League is open to people with and without disability aged 14+, who want to play an inclusive, modified version of volleyball in a fun, safe, yet slightly competitive environment!


First Name*
Last Name*
Date of Birth*
Gender*
Address
Suburb*
Post Code*

Email*
Mobile Phone*
Total	$120.00
Amount ($)*
Credit Card Holder Name*
Credit Card Number*
Expiry Month*
Expiry Year*
CVN*

1. Are you from a Culturally and Linguistically Diverse (Multicultural) background^*



2. Are you from an Aboriginal or Torres Strait Islander background?^*



3. Do you have a disability, impairment or medical condition that may affect your participation? Please specify below^*

Comments


4. Are you a person with a classified/classifiable disability for sitting volleyball, interested in pathway progression in this sport?^*
Yes No


5. Are you a current or former member of the defense force interested in connecting with Invictus Australia?^*
Yes No


6. Photos may be taken at events and activities and published for promotional purposes. Do you give Photo Permission?^*