Name of Participant:
*
Name of Parent (if under 18yrs old):
Gender:
*
Male
Female
Date of Birth
*
Age Group
*
Select an option:
12 - 15 years old
16 years and older
Any Medical Illness?
*
No
Yes
If yes, please state the illness:
T-shirt size
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Position that you play in:
*
Club or Academy that you are currently playing with?
Register Interest in the Following Sessions:
Group Session Package: $360
0
1
Group Session Package:
6 X Small group sessions (4-6 players)
2 x Morning Group Training Sessions
2 x Training T-shirt
Showcase Game
Nutrition Seminar
Savings $160
Individual Training - $150.00 each
0
1
2
3
4
5
Small Group Training (4-6 players) - $50.00 each
0
1
2
3
4
5
6
Early Morning Large Group Training (7AM) - $50.00 each
0
1
2
Goalkeeper Sessions - $50.00 each
0
1
2
Showcase Game - $50.00
0
1
2
EARLY MORNING SESSIONS IS $30 - when attending 2 or more individual or group sessions
SHOWCASE MATCH IS FREE - when attending 2 or more individual sessions or 3 or more group sessions
NUTRITION SEMINAR - FREE
Session times in which you prefer:
*
Morning (anytime between 9am-12pm)
Afternoon (anytime between 2pm- 4pm)
Evening (anytime between 6pm- 8pm)
Email:
*
Telephone Number:
*
Payment:
Bank Transfer
Cash
Check
An email confirmation of payment amount and details will be sent once registration has been received.
Comment:
By submitting this form, you agree to indemnify and to hold harmless Footy Promotions, its members, coaches, officers or designates from any kind of claim whatsoever.
*
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