Thanks Coach, Thanks Official - Breakfast Registration Form

The Office for Recreation and Sport invites coaches, officials and volunteers from your organisation to attend the

"Thanks Coach, Thanks Official" Breakfast
with guest speaker Daryl Harper (ICC Test Umpire)
 
 

Date:

Friday 26 February 2010

Venue:

Adelaide Crows Training & Entertainment Facility, Level 3 Mezzanine, 105 West Lakes Boulevard (New Venue)

Time:

7.30am - 9.00am

Cost:

$22.50 per person (If a full table of 8 is booked, one ticket is free)
N.B. This is a SPECIAL online booking price only

Registrations are essential, as numbers are limited and will be accepted on a first in basis.

Payment must be received prior to the breakfast. Registrations will be acknowledged by a confirmation letter, sent to the email address supplied.

Any queries or support to:
The State Coaching and Officiating Centre
Office for Recreation and Sport
PO Box 219, Brooklyn Park, SA, 5032
Ph: 7424 7605
Fax: 7424 7674
Email: orscoachingandofficiating@sa.gov.au

Total number of tickets required @ $22.50 per person:
(N.B. If you purchase 7 tickets, you get an 8th for free!)

Contact Details

Contact Person Name
Contact Person Telephone
Contact Person Email
Name of Organisation

Attendee Details

Don't forget to include yourself as an Attendee!!
 

1Name : Number : Email :
2Name : Number : Email :
3Name : Number : Email :
4Name : Number : Email :
5Name : Number : Email :
6Name : Number : Email :
7Name : Number : Email :
8Name : Number : Email :

 

Do any attendees have any special dietary requirements?
e.g. diabetic, vegetarian or allergies etc?
Please send me a reminder text message prior to this event
(we will not send unsolicited messages)
Yes    No
Please email me in the future about other SA Coaching
and Officiating Centre events/courses
Yes    No

Total Amount to pay:


 
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