Kambalda Walking Football - Forms

Walking Football Program in Kambalda

Come and try Walking Football. A fun way to stay fit active or even to just give the game a go. Walking Football is for all players 14-65 years of age.

"*" indicates required fields

Name*

First Last

Date of Birth*

Email*

Phone Number*

Emergency Contact Name*

First Last

Emergency Contact Phone Number*

Emergency Contact Relation*

Preferred session time*

5.30 pm

6.30 pm