EXPRESSION OF INTEREST

Mt Buller Winter Program - EXPRESSION OF INTEREST

* Indicates required field

Athlete First Name *

Athlete Surname *

Athlete Gender *

Athlete DOB (DD/MM/YYYY) *

My child has met the minimum entry results criteria *

Member of a Seasonal Program in 2025? *

Training Area/Discipline *

Training Package *

Primary Contact/Parent First Name *

Primary Contact/Parent Surname *

Primary Contact/Parent Email *

Primary Contact/Parent Mobile Phone Number *

Mailing Address *

Suburb *

State *

Post Code *

Submit