Coach Max Football Academy - School Holiday Camp-Student Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Birth Date
*
Please select a day
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Day
Please select a month
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Month
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Year
Gender
*
Please Select
Male
Female
N/A
Week1: Monday 6th – Friday 10th April 2026. Please select the day(s) you wish to attend. Your child can finish at 2:00pm or stay for the full day until 4:00pm — we’ve introduced this option to support working parents. You’re also welcome to mix times (e.g., Monday until 2:00pm, Tuesday until 4:00pm).
Monday 6th April (8am - 2pm)
MONDAY 6th APRIL - FULL DAY (8am - 4pm)
Tuesday 7th April (8am - 2pm)
TUESDAY 7th APRIL - FULL DAY (8am - 4pm)
Wednesday 8th April (8am - 2pm)
WEDNESDAY 8th APRIL - FULL DAY (8am - 4pm)
Thursday 9th April (8am - 2pm)
THURSDAY 9th APRIL - FULL DAY (8am - 4pm)
Friday 10th April (8am - 2pm)
FRIDAY 10th APRIL - FULL DAY (8am - 4pm)
Week2: Monday 13th – Friday 17th April 2026. Please select the day(s) you wish to attend. Your child can finish at 2:00pm or stay for the full day until 4:00pm — we’ve introduced this option to support working parents. You’re also welcome to mix times (e.g., Monday until 2:00pm, Tuesday until 4:00pm).
Monday 13th April (8am - 2pm)
MONDAY 13th APRIL - FULL DAY (8am - 4pm)
Tuesday 14th April (8am - 2pm)
TUESDAY 14th APRIL - FULL DAY (8am - 4pm)
Wednesday 15th April (8am - 2pm)
WEDNESDAY 15th APRIL - FULL DAY (8am - 4pm)
Thursday 16th April (8am - 2pm)
THURSDAY 16th APRIL - FULL DAY (8am - 4pm)
Contact
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Does the participant have any allergies or medical conditions we should be aware of
*
Additional Comments
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