Come and try form

Participant Information

Gender MaleFemale


I would like to attend the following session(s)
Saturday 16 November, 10.00am-12.00pm: Group coaching session
Saturday 17 November, 10.00am-2.00pm: One on one coaching session.
(Attendees can stay for as much or as little time as you like in the Sunday session).

Please note once-off payment of $10 to cover insurance entitles you to attend both sessions.




Medical Conditions (required)
Please list relevant information, including any medication and dosage in the medical information box.
All the below conditions require a response
Asthma
Diabetes
Dizziness/Blackouts
Epilepsy/Seizure/Convulsions
Heart disease
Blood pressure issues
Allergies
Does the participant carry medications to be administered during the event?
(e.g. Tablets /capsules, Insulin / Ventolin?)
Is there other information of which we should take note (e.g. dietary requirements, hospitalisation/surgery)

list relevant information, including any medication and dosage

In circumstances where it is impracticable or impossible to communicate with me, I Authorise Paddle SA’s delegated officials or agents to obtain such Medical or Dental treatment, including any essential transfusion of blood, that a qualified Medical or Dental Practitioner considers necessary, and I Accept any necessary associated expenses that are incurred.

Registrant U16 years old? (required)