Sydney FC Foundation - Powerchair Football Holiday Clinic

Powerchair Football Clinics
Participant Registration Form
Thank you for your interest in our upcoming Sydney FC Foundation Community Powerchair Football Clinics.

Spaces for each Clinic are limited.

Please complete the whole form.

For any questions, please contact foundation@sydneyfc.com
Please select the Clinic you are signing up for:

Other
Participants Details

Please fill out all fields.
Participants Name

First NameLast Name
Participant Date of Birth

DayMonthYear
Participant's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant's shirt size

Other
Parent/Guardian/Emergency Contact Name

First NameLast Name
Email Address (of parent/guardian)
example@example.com
Contact Number (of parent/guardian)

Area CodePhone Number
How did you hear about the program?

Other
Please outline any medical conditions/disabilities that the participant has.
Participant's Gender
Has the participant attended any Sydney FC Foundation clinics in the past? (please select all applicable if yes)
Are you happy to receive more communications from Sydney FC and Sydney FC Foundation?
Do you give Sydney FC Foundation photo and video consent to capture content of the participant?
Any questions, please contact us: foundation@sydneyfc.com.
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Participant Registration Form