Expression of Interest

Register Your Interest to Participate in the My Active Program

Squad programs and individualised exercise programs for Young Adults aged 16 to 25 years

First Name

Last Name

Date of Birth

Parent/Guardian's Name

Email

Mobile

Home Phone

Disability

Were you a Rainbow Club Member?

If so, which Rainbow Club were you a member of?

Additional information you would like us to know

Locations

Auburn, Bexley, Bondi, Campbelltown, Cherrybrook, Cronulla/Miranda, Glenmore Park, Holsworthy, Hornsby, Hurstville, Kurri Kurri, Lane Cove, Lithgow, Liverpool, Maroubra, Mt Pritchard, Narellan, Newington/Stanmore, Northmead, Orange, Penrith, Revesby, Southern Highlands, Seven Hills, Sutherland, The Ponds, Valentine, Wahroonga, Warriewood, Warringah. See details