2013 AFL School Ambassador (AFLSA) PD & Induction
2013 AFL School Ambassador (AFLSA) PD & Induction
REGISTRATION FORM
REGISTER HERE to attend an AFLSA INDUCTION to become an AFLSA or to attend a Professional Development session for current AFLSAs.
Contact Sharon Wilson at WA Football Commission for enquiries on 9381 5599 or swilson@wafc.com.au
Name:
*
Current School:
*
School Year Level(s):
*
Primary School
District High School K-10
Secondary High School
Email:
*
School Phone:
*
Mobile Phone Number:
Fax:
Polo Shirt Size: (Please Select One)
*
Mens S
Mens M
Mens L
Mens XL
Mens 2XL
Mens 3XL
Ladies 10
Ladies 12
Ladies 14
Ladies 16
Ladies 18
If Country, please advise your region:
Goldfields Region
Great Southern Region
Kimberley Region
Mid West Region
Midlands Region
Pilbara Region
South West Region
Wheatbelt Region
On receipt of your Registration form, confirmation and further information will be forwarded prior to the Induction or PD session.