Registration

Participant Registration Form

WHICH Bowl Abilities program are you registering for?

Name

First

Last

Age

Gender

Male

Female

Prefer not to say

How many times per week do you currently exercise 30mins or more?

Is this the first time the participant has registered for Bowl Abilities?

Yes

No

Do you identify as being Culturally or Linguistically Diverse?

Are you of Aboriginal and/or Torres Strait Islander origin?

Tell us about your abilities or any (modifications/supports) that might enhance your experience

What's your preferred communication style?

Speech

Word Board

I have a device

Please ask my support worker to assist

Email

Phone

Alternate Contact (optional)

Name

Mobile Phone

Payment

PAYMENT OPTIONS
1. Transfer your registration fees directly to: Tenpin Bowling Australia    BSB 032-195     ACC. 128392
2. Request an invoice email - bowlabilities@tenpin.org.au
3. Pay via credit card below

Product

Credit Card

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