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
8-11 year old participants may
register by clicking here
.
Any Medical Illness?
*
No
Yes
If yes, please state the illness:
T-shirt size
-
Youth Large
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: $300
0
1
Group Session Package for 12-15 year olds:
4 X Small group sessions (8-10 players)
2 x Large Group Training Sessions
1 x Showcase Game
2 x Training T-shirt
Nutrition Seminar
Assessment
Savings $70
If you would like to customize the sessions in which you prefer, please select the options below that are available for both age groups:
Individual Training - $150.00 each
0
1
2
Small Group Training - $50.00 each
0
1
2
3
4
5
6
Large Group Training (12-15 yrs old) - $50.00 each
0
1
2
3
Goalkeeper Sessions - $50.00 each
0
1
2
Showcase Game - $50.00
0
1
2
LARGE GROUP SESSIONS IS $30 - when attending 2 or more individual or small group sessions
SHOWCASE MATCH IS FREE - when attending 2 or more individual sessions or 3 or more group sessions
NUTRITION SEMINAR - FREE
Small Group Sessions will take place in the evenings between 4-8pm
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 and Footy STAR Management, its members, coaches, officers or designates from any kind of claim whatsoever.
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