Dodgeball Showdown - Registration
Ready to dodge, throw and have some fun? Join our Youth Dodgeball Event for ages 12–16! Bring your friends, meet new people, get active and show off your skills.
Whether you’re experienced or trying dodgeball for the first time, everyone is welcome. Register now for an action-packed day!
EVENT DETAILS
Date: 7 November 2026
Time: 12 pm to 2 pm
Location: Stawell Sports and Aquatic Centre
49-51 Houston Street, Stawell VIC 3380
Participant name
(Required)
First
Last
Age
(Required)
Participant phone
Guardian name
(Required)
First
Last
Relationship to guardian
(Required)
Guardian email
(Required)
Guardian phone
Medical Information
(Required)
Do you have any medical conditions, allergies, injuries, or accessibility requirements we should be aware of?
Yes
No
Medical details
(Required)
Please detail the medical conditions you should make us aware of.
Participant Agreement
(Required)
All Fields must be checked
I understand that dodgeball is a physical activity and agree to:
Follow all staff instructions
Respect other participants
Wear appropriate footwear and clothing
Inform staff of any injury or concern
Privacy Collection Statement
Privacy Collection Statement
(Required)
Personal information requested on this form will only be used by council to carry out its functions and activities and will not be disclosed without your consent except where authorised by law. If you do not provide all or part of the personal information required we may not be able to process your request in an effective and efficient manner. You have the right to seek access to and correction of your personal information. I acknowledge that:
I have read and understood the Privacy Collection Statement and consent to my personal information being used for the purpose specified.
Submission Statement
(Required)
This submission can only be made by the named applicant. If you are submitting this application on behalf of another person or entity you must be duly authorised to do so. By submitting this application you are confirming that you are authorised to do so and declare that the information is correct to the best of your knowledge. I acknowledge that:
I have read, understood and confirm I am complying to the above Submission Statement
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