Form C6 (Updated 7 December 2017) SPORTS MEDICINE BOOKING CONFIRMATION This form should be sent to the Sports Medicine provider to confirm arrangements for your Regional Trial. Please negotiate the time that you require the provider to be at the venue, ice requirements etc prior to sending this form. The provider may be contacted by phone on Mobile: 0449 133 700. Please negotiate with the Sports Office if you require more than one Sports Medicine provider for your trial, prior to sending this form. Note that a copy must also be sent to Metropolitan East School Sport prior to the trials. Copies of this form must be sent to: First Response Sports Trainers Att: Sue Prince Email: Metropolitan East School Sport Email: Fax: 3259 7707 VENUE: TRIAL DATE: Sport: Age Group: yrs Boys/Girls Both Convenor: Contact No: No. of Cost per game Total Sports Start Time Finish Time Providers Ice Cost $44/hr Medicine Cost Required (GST INC) (GST INC) TOTAL COST $ (Includes GST) METROPOLITAN EAST SCHOOL SPORT Invoices must be sent to: SCHOOL RD CAPALABA 4157 Email: Fax: 3259 7707
Form C6 (Updated 7 December 2017) SPORTS MEDICINE BOOKING CONFIRMATION This form should be sent to the Sports Medicine provider to confirm arrangements for your Regional Trial. Please negotiate the time that you require the provider to be at the venue, ice requirements etc prior to sending this form. The provider may be contacted by phone on Mobile: 0449 133 700. Please negotiate with the Sports Office if you require more than one Sports Medicine provider for your trial, prior to sending this form. Note that a copy must also be sent to Metropolitan East School Sport prior to the trials. Copies of this form must be sent to: First Response Sports Trainers Att: Sue Prince Email: Metropolitan East School Sport Email: Fax: 3259 7707 VENUE: TRIAL DATE: Sport: Age Group: yrs Boys/Girls Both Convenor: Contact No: Start Time Finish Time No. of Providers Required Ice Cost Cost per game $44/hr (GST INC) Total Sports Medicine Cost (GST INC) TOTAL COST (Includes GST) $ Invoices must be sent to: METROPOLITAN EAST SCHOOL SPORT SCHOOL RD CAPALABA 4157 Email: Fax: 3259 7707