Term 2 2024 Junior Volleyball Kent Street Senior High School "*" indicates required fields Player Name* First Last Gender*SelectGirlBoyAge*Please enter a number from 1 to 100.Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current School Year*SelectYear 7Year 8Year 9Year 10Year 11Year 12School*Please note that this program is for Kent Street Senior High School students only. Address* Street Address Suburb/Town Post Code What Local Government area do you reside in?* City of Canning City of South Perth City of Melville Town of Victoria Park Other Email* Parent/GuardianParent/Guardian Name* First Last Parent/Guardian Mobile*Parent/Guardian Email* Association/Club 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 Volleyball WA Membership Status*What is your current Volleyball WA Membership Status? Platinum Gold Silver No Membership New or Returning Participant*Did you participate in the Term 1 Reds Junior Volleyball program at Kent St SHS? Yes No 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 code Reds Participation Program Playing Shirt*A Reds Participation program playing shirt is included in the program cost. Please select the size.Kids Size 6Kids Size 8Kids Size 10Kids Size 12Kids Size 14Kids Size 16Adult SmallAdult MediumAdult LargeDiscount Code(If applicable) Kent St - Junior Volleyball Term 2 2024 (New)*Credit card fees apply. Includes Reds Participation Shirt and Annual Volleyball WA Gold Membership. Price: Kent St - Junior Volleyball Term 2 2024 (Term 1 Participant)*Credit card fees apply Price: Kent St - Junior Volleyball Term 2 2024 ($40 Credit)*Credit card fees apply Price: Total Credit Card*Card Details Cardholder Name
