2024 Reds Beach – Sundays 2024 Reds Beach - Sundays Returning Pay Per SessionI have previously registered and am now signing up for additional sessions* Yes - I have previously signed up for this program No - I have not previously signed up for this program Athlete InformationName* First Last Gender*Please SelectFemaleMaleWhat is your age?* Date of Birth* DD slash MM slash YYYY Email* Enter Email Confirm Email Mobile*Address* Street Address City ZIP / Postal Code Local Government*What Local Government Area do you reside in? City of Canning City of Melville City of South Perth Town of Victoria Park Volleyball WA Membership Status*What is your current Volleyball WA Membership Status? * Please note all athletes that wish to be involved with the Reds Beach Volleyball program must have a Volleyball WA Gold or Platinum Membership. Platinum Gold Silver No Membership Volleyball WA Membership Number*Please enter your Volleyball WA Platinum or Gold Membership Number (Contact Code) in the field below. This membership provides athletes with Personal Accident Insurance. Your membership number is the Contact Code that can be found on your profile on the VWA Fortix website. > FORTIX LINK Your VWA membership status must be upgraded in order to register for this program. Please click on the link below to sign in or register on VWA’s Fortix system and purchase a Gold or Platinum Membership. > FORTIX LINK Once you have your membership number please return to this form to register.Emergency Contact InformationEmergency Contact Name* Emergency Contact Relationship* Emergency Contact Email* Emergency Contact Mobile*Association RequirementsReds Membership Agreement*I have read and agree to comply with the Reds Membership Agreement. Yes Policies*I agree to comply with all Association and Club policies. Yes Associate Member*I understand that by completing this membership I will become an Associate Member of the Perth Reds Volleyball Association and the Reds Volleyball Club. Yes Program InformationPlease choose number of sessions*1 session4 sessions8 sessionsPlease select the date of the session you will be attending*7 January14 January21 January28 January4 February11 February18 February25 FebruaryPlease select the 4 dates of the sessions you will be attending*MAXIMUM OF 4 SESSIONS 7 January 14 January 21 January 28 January 4 February 11 February 18 February 25 February 2024 Reds Beach Sundays - 1 session*Credit Card Fees Apply Price: 2024 Reds Beach Sundays - 4 sessions*Credit Card Fees Apply Price: 2024 Reds Beach Sundays - 8 sessions*Credit Card Fees Apply Price: Credit Card*Card Details Cardholder Name
