Please resolve the following issues before proceeding
Click on an issue to go directly to the related section of the form.
errors found:
warnings found:

Submission Received

Course Registration Form - Coaching & Officiating
Thank you, your submission has been received.Submission Enquiries:
To check the progress of your submission and/or confirm it has been received you should contact the agency that provides the form. The agency name is usually displayed on the form or as part of the form logo.

Next steps

You are required to complete these additional forms to finalize your request.
Your Tracking Code is:
Please quote your Tracking Code when enquiring about your submission.

For your records

Would like a copy of this submission for your personal records?
OR

Check your email

We've sent a copy of your submission to your email address ().If you didn't receive it or would like another copy, just select one of the options below.
OR

Contact Person Details

Course Registration Form - Coaching & Officiating
Fields marked with * are required

Your Details

Your Address
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy.To summarise

Your Terms of Use and Privacy Policy must be publicly available.You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service.You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.

Attendee Details

Course Registration Form - Coaching & Officiating
Fields marked with * are required

Attendees

Attendee
Attendee of
Does the attendee want to join the mailing list?
of 500 characters

Courses

Course Registration Form - Coaching & Officiating
Fields marked with * are required

Courses

Course
Details
When: , to
Where:
Number
Item Cost
Cost
How many tables of ?
Number of attendees?
How many of the individuals will be attending drinks?
Total cost for course
Total (ex. GST)
GST
Total

Summary of Registration

Course Registration Form - Coaching & Officiating
Fields marked with * are required

Attendees

Attendee
First Name:
Last Name:

Courses

Course
Details
When: , to
Where:
Number
Item Cost
Cost
How many tables of ?
Number of attendees?
How many of the individuals will be attending drinks?
Total cost for course
Total (ex. GST)
GST
Total

Payment

Please confirm your preferred method of payment *
Paying online is safe and easy with our secure Credit/Debit Card facility. The following cards are accepted:
Contact your bank or financial institution with the details that will be presented on your receipt to make a BPAY payment using your savings or cheque account.

Tax Invoice

Course Registration Form - Coaching & Officiating
Fields marked with * are required

Transaction Details

Reference Code:
Payment Receipt Number:
Received:
Amount:
GST:

Agency Details

Name: Office for Recreation and Sport
ABN: 81213956472
Address: PO Box 219, Brooklyn Park SA 5032

Applicant

Name:
Address:

Attendees

Attendee
First Name:
Last Name:

Items Purchased

Course
Details
When: , to
Where:
Number
Item Cost
Cost
How many tables of ?
Number of attendees?
How many of the individuals will be attending drinks?
Total cost for course
Total (ex. GST)
GST
Total
Office for Recreation and Sport, Government of South Australia