Little League Stars

Application

What is Little League Stars?

Little League Stars is an exciting Early Childhood development program with a rugby league twist, designed for children aged 3-5 years old, welcoming all abilities and skill levels. The program holds a philosophy of learning through play, promoting physical activity in a fun and interactive environment. Little League Stars encourages children to learn fine and gross motor skills, teamwork, problem solving abilities and communication. It provides an opportunity for participants to develop friendships and help build self-confidence.

IMPORTANT NOTE: There may be slight delays to service this week as we transition to a new Support desk. We appreciate your patience during this process, and rest assured, the Team will action your request as soon as possible.

This form is to book to host Little League Stars Programs at your Club. The form will provide the Little League Stars Team with all the information needed to be able to provide you with all the relevant information and resources for the Program to be delivered.

Please make sure you fill out all of the details asked and we look forward to working with you in the upcoming season.

You will need to select which Program you are planning to run:
- "Little League Stars" is the standard Little League Stars program
- "Little League Stars - Club" is for Clubs who wish to reduce the price for participants
- "Little League Stars - Partnered" is for Clubs who have received funding or wish to cover Program associated costs.

Little League Stars Application Form

Club Details - This information will also be used to upload your Club/entity onto the online resource portal, Skoop.

Club Name * Club or entity name

Which of the following best describes you? *

I am nominating my Club
I am an additional Little League Stars deliverer

Club Contact - First Name * e.g. Jane

Club Contact - Last Name * e.g. Smith

Club Contact - Role * E.g. Secretary, Registrar, Program Lead Deliverer

Club Contact - Email Address *

Club Contact - Phone Number *

Club Delivery - Address Line 1 *

Club Delivery - Address Line 2

Club Delivery - Suburb *

Club Delivery - Postcode *

Is your Club's Billing Address the SAME as your Delivery Address? *

Yes
No

Little League Stars Deliver Details - The person/s who will be delivering the Program

(1) Little League Stars Deliverer's First Name *

(1) Little League Stars Deliverer's Last Name *

(1) Little League Stars Deliverer's Email Address *

(1) Little League Stars Deliverer's Phone Number *

(1) Little League Stars Deliverer's WWCC/Blue Card Number *

Deliverer 2

(2) Little League Stars Deliverer's First Name *

(2) Little League Stars Deliverer's Last Name *

(2) Little League Stars Deliverer's Email Address *

(2) Little League Stars Deliverer's Phone Number *

(2) Little League Stars Deliverer's WWCC/Blue Card Number *

Deliverer 3

(3) Little League Stars Deliverer's First Name *

(3) Little League Stars Deliverer's Last Name *

(3) Little League Stars Deliverer's Email Address *

(3) Little League Stars Deliverer's Phone Number *

(3) Little League Stars Deliverer's WWCC/Blue Card Number *

Deliverer 4

(4) Little League Stars Deliverer's First Name *

(4) Little League Stars Deliverer's Last Name *

(4) Little League Stars Deliverer's Email Address *

(4) Little League Stars Deliverer's Phone Number *

(4) Little League Stars Deliverer's WWCC/Blue Card Number *

Little League Stars Administrator

LLS Club Administrator - First Name *

LLS Club Administrator - Last Name *

LLS Club Administrator - Email Address * This needs to be the email used to access MySideline.

LLS Club Administrator - Phone Number *

What date would you like your first Little League Stars Program to start? *

Little League Stars

What is Little League Stars? /

What is Little League Stars?

Little League Stars Application Form

What is Little League Stars?