Soccer Registration Form

Bentleigh Cobras Summer Program
Bentleigh United Cobras FC is proud to introduce our Summer Program hosted by SAS Futbol.

The 5 week program will begin on 14th of November. Training days will be held on Tuesdays and Fridays. First week training is complementary!

Time sessions are as follows:

Ages 7-9 training from 5pm-6pm

Ages 10-12 training from 6pm-7pm

Elite program ages 10-12 training from 7pm-8pm

Any questions, please reach out to Paula on 0408291327 or Info@sasfutbol.com.au
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Male/Female*
Level experience

BeginnerIntermediateAvanced
Parent/Guardian Name*

First NameLast Name
Phone Number*

Mobile Number
Suburb
E-mail*
How many days training?

One day a week TrainingTwo days a week training
What days you would like to train?

Tuesday OnlyFriday OnlyTuesday & Friday
Payment Option
Please verify that you are human*
Should be Empty: