BRFC Academy Skills Training Program EOI

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Parent / Guardian's Names* This field is required.Please enter at least two Parent or Guardian's names
Parent 1 - Full Name
Parent 2 - Full Name
2
Your Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Other
Country
3
Please enter the name of your child / children interested in the program* This field is required.(Please enter 1 full name per line if you have multiple children interested)
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4
Please enter your child's year of birth below:* This field is required.If multiple children, please enter the years in different lines (ex: 2004 - 2008)
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5
Choose your Preferred BRFC Training Centre* This field is required.Pick your closest hub
Townsville - Townsville Sports Reserve
Fraser Coast - Fraser Coast Sports Precint
Brisbane North - Pine Hills FC
Brisbane East - Redlands FC
Brisbane South - Meakin Park
Byron Bay - Cavanbah Centre
Port Macquarie
6
Parent / Guardian Contact Numbers* This field is required.Please Enter 2 contact numbers PLUS an emergency contact number
Mobile Number 1
Mobile Number 2
Emergency Contact Number
7
Parent / Guardian Email Address* This field is required.Please Enter your best email address
Email Contact 1
8
2020 Registered Football ClubPlease let us know which Club you will be part of during 2020 season below, which age group and program (example: Rochedale Rovers FC - U11 SAP)
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Your child's current school & grade* This field is required.Please enter which school & grade your child / children currently attend
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10
Known Medical conditions and Dietary requirements* This field is required.Please Enter any known medical conditions your child/ children may have. Please enter N/A if there are no known requirements.
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