2025 Reds Youth Volleyball Holiday Camp – Beginner to Intermediate (January) Youth Volleyball Holiday Program Camp January School Holidays 2025 Athlete InformationName* First Last Gender*Please SelectFemaleMalePrefer not to respondWhat is your age?*Date of Birth* DD slash MM slash YYYY School Year in 2025*Year 7Year 8Year 9Year 10Year 11Year 12School*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 in this program must have a Volleyball WA Gold or Platinum Membership. Platinum Gold Silver No Membership Unsure 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 LINKParent/Guardian InformationParent/Guardian Name*Parent/Guardian Email* Parent/Guardian Mobile*Program InformationPlease note this program is targeted for beginner to intermediate athletes. How many days of the Youth Holiday Camp will you be attending?*3 days (All)2 days1 dayNone (Gameplay only)Please select the days you will be attending (Holiday Camp)* Monday 20th January Tuesday 21st January Wednesday 22nd January How many additional gameplay sessions of the Youth Holiday Camp will you be attending?*2 x days of gameplay1 x days of gameplayNone (Camp only)Please select the additional gameplay days you will be attending (Holiday Camp)* Thursday 23rd January (10am to 12pm) Thursday 24th January (10am to 12pm) 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 KidSport*Are you eligible for a KidSport Voucher that you would like to use for this program. Yes No KidSport Voucher Code*Please enter the KidSport voucher codeDiscount CodePlease enter the discount code2025 Reds Youth Volleyball Holiday Camp (January) - All Camp Days (3)*Credit Card Fees Apply Price: 2025 Reds Youth Volleyball Holiday Camp (January) - 2 Camp Days*Credit Card Fees Apply Price: 2025 Reds Youth Volleyball Holiday Camp (January) - 1 Camp Day*Credit Card Fees Apply Price: 2025 Reds Youth Volleyball Holiday Camp (January) - Additional Payment Lucas Wei*Credit Card Fees Apply Price: 2025 Reds Youth Volleyball Holiday Camp (January) - 2 x Gameplay Sessions*Credit Card Fees Apply Price: 2025 Reds Youth Volleyball Holiday Camp (January) - 1 x Gameplay Day*Credit Card Fees Apply Price: Credit Card*Card Details Cardholder Name
