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
Valentine Sports Park - October 1st & 2nd, 2025Other
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
Eight (8)Ten (10)Twelve (12)Fourteen (14)Sixteen (16)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
Social MediaSydney FC WebsiteSydney FC gamedayWord of MouthOther
Please outline any medical conditions/disabilities that the participant has.*
Participant's Gender*
NoValentine Sports Park - July 2022Five Dock Leisure Centre - October 2022Johnny Warren Sports Stadium - November 2022Paramatta Marist High School - February 2023Arncliffe Youth Centre - April 2023AIS Canberra - April 2023Morris Iemma - July 2023Shellharbour Sports Stadium - October 2023Morris Iemma - October to December 2023Valentine Sports Park - July 2024Powerchair Football NSW competition
YesNo
YesNo
Any questions, please contact us: foundation@sydneyfc.com.
Should be Empty:

Participant Registration Form