Lane Ranger Registration

Name

First

Last

Email

Phone

Do you have a disability? (next question will offer to provide support if 'Yes')

Yes

No

Please indicate what support, if any, we can provide to help (mentor, video or telephone call, extra time, etc)

Address

City

State/Province

Zip/Postal

Country

Are you currently a Tenpin Bowling Australia coach?

Yes

No

Current qualification (e.g. Level 1, etc)

Do you hold a Working with Children/Vulnerable People Check?

No

Yes

Please indicate current level and status

Do you identify as being culturally or linguistically diverse?

Yes

No

Are you of Aboriginal or Torres Strait Islander descent?

Yes

No

Where did you hear about Bowl Abilities?

Would you like to receive further information about Bowl Abilities in the future?

Yes

No

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