Family Details Parent first name* Parent last name* Relationship to child* Do you have a health care card?* --None-- Yes No Unknown What languages are spoken in the home other than English?* Email* Mobile* Example: 04xxxxxxxx Suburb* Post code* Child/Player Details Child's first name* Please enter your child's preferred name Child's last name* Child's birthdate* Gender* --None-- Girl Boy Prefer not to say Does your child have medical conditions we should know about?* --None-- Yes No Please let us know* Example: Asthma, Epipen, Injury What is your child's country of birth?* --None-- Abkhazia Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ascension Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Bhutan Bolivia Brazil Bulgaria Burkina Faso Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Donetsk`s Republic DR Congo Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia FS Micronesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadalupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holland Honduras Hong Kong Hungary Iceland India (Hindustan) Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luhansk Republic Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Cyprus Northern Mariana Islands North Korea Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Pridnestrovie Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saba Sahrawi Republic Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Sealand Senegal Serbia Seychelles Sierra Leone Singapore Sint Eustatius Sint Maarten Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Georgia and the South Sandwich Islands South Korea South Ossetia South Sudan Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Tibet Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay US Virgin Islands Uzbekistan Vanuatu Vatican City Venezuela Vietnam WalesWallis and Futuna West Bengal Yemen Zambia Zimbabwe Please select the size of your child’s uniform * --None-- Extra extra small (Ages 5 - 8) Extra small (Ages 9 - 11) Small (Ages 11 - 14) Medium (Ages 13 - 17) Large (Ages 14 - 17 ) Extra large (Ages 14 - 17 ) Extra extra large About our Program One Ball Offers Weekly Programs for term three, 2021 Please choose where your child would like to play* --None-- Port Melbourne Cranbourne Maidstone This program is heavily subsidised, cost of participation depends on the location. We will confirm once we have found a place for your child on the team. One Ball offers scholarships for players who are experiencing financial hardship. Do you require a scholarship? --None-- Yes No In Case of Emergency please contact Emergency contact name* Emergency contact number* Example: 04xxxxxxxx Emergency contact relationship to child* How did you find this program?* --None-- Social media Referred from a social worker Council website At school Newsletter Sign up to our newsletter *I consent to the Terms and conditions of registration. If you wish to register more children to play from your family you will be able to do so after you confirm this page.