Sitting Volleyball Program Contact Us 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? Platinum Gold Silver No Membership Emergency Contact InformationEmergency Contact Full Name*Emergency Contact Relationship*Emergency Contact Email* Emergency Contact Mobile*Medical Notes*Medical Notes: Eg. Physical or Mobility issues.Support Person or AssistanceWill you have a support person attending the session or will you need assistance at the session? Yes - a support person will be attending Yes - assistance is needed No Level of Fitness/Participation*What is your level of fitness or sport participation? Eg. First time playing a sport; Played a little bit of social sport; Played competitive sport; Played high performance sport; etc.Are you an NDIS Participant* Yes No Did you participate in the June/July Sitting Volleyball program?* Yes No Reds Participation Program Playing ShirtA Reds Participation program playing shirt is free for new participants. Please select the size.Kids Size 6Kids Size 8Kids Size 10Kids Size 12Kids Size 14Kids Size 16Adult SmallAdult MediumAdult LargeAdult Extra LargeHow did you hear about the Reds Sitting Volleyball sessions?Perth Reds Social MediaWord of MouthOnline SearchInclusion support serviceClub/AssociationCommunity GroupSchoolAssociation 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 HOME
