Te Atatu A.F.C Skills Centre

Te Atatu A.F.C - Skills Centre
Please fill out 1 registration form for each child. Once we receive registration we will be in touch within 24 hours.

Cost is $100 per child

8 week programme
Please specify which day your young footballer can attend.

Sundays 2-3pmMondays 4-5pm
CHILD INFORMATION:
Child Name*

First Name Last Name
Birth Date*

Month Day Year
Male/Female*
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
MEDICAL INFORMATION
Please explain any medical concerns we need to be made aware of.
REGISTRATION PAYMENT
Payment can be made to the below bank account or alternatively payment can be made upon sign up confirmation email which will be emailed out within 24 hours of signing up.

We at Te Atatu AFC are here to help so if you're struggling financially please do reach out and we are more then happy to help.

ANZ Bank

01-0190-0562986-01

Please put your childs name down as reference.
Should be Empty:

Te Atatu A.F.C - Skills Centre