Urban Xtreme Achievement Award Application for Sports Clubs To receive Urban Xtreme Achievement Awards for your club, complete the application below and we will be in contact soon *Required Club Name*Type of Sport*AFLSoccerNetballRugby LeagueRugby UnionSwimmingNippersOtherPostal Address* Line 1 Line 2 City State / Province / Region ZIP / Postal Code Number of Junior Teams Requiring Awards (>13)*Number of Senior Teams Requiring Awards (<14)*Total Number of Players at Club (approx)*Season Start Date* DD MM YYYY Number of Weeks in Season*Additional Information*Any other information you would like to share about your club - include advertising & sponsorship opportunities, fundraising or other events that Urban Xtreme may be interested in supportingContact #1* Name Role Contact #1* Phone Email Preferred Contact Method & Time Contact #2 Name Role Contact #2 Phone Email Preferred Contact Method & Time Yes, I would like to receive news, exclusive offers and specials from Urban Xtreme