8-11yrs: Footy S.T.A.R. Program Registration
Step 1 of 2: Submit
Name of Participant:
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Name of Parent:
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Gender:
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Male
Female
Date of Birth
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Any Medical Illness?
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No
Yes
If yes, please state the illness:
Position that you play in:
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Club or Academy that you are currently playing with?
Select Sessions:
July 28th (9:30am - 10:30am)
August 4th (10:00am - 11:00am)
Email:
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Telephone Number:
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Payment:
Bank Transfer
Cash
Check
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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