Woodside Warriors Challenger Program

This form is to register your interest in a division at Woodside Warriors catering specifically for those with a different set of challenges than others, such as a spectrum disorder or physical disability. At this stage the form is to gauge community interest in the program.

Name Name First Last
Phone
Email
Player's name
Player's DOB Player's DOB / DD / MM YYYY
Player's details (ie. nature and extent of disability)
Are you (or someone else) interested in supporting the program?
Do you have anything else to add?