Wellington Phoenix Experience Camps 2024
Please complete the following form to register your child/children for the Wellington Phoenix Experience camps.
Price
For two full days (9.00-15.00) $195 per child
Childs Full Name
First Name
Last Name
Childs Date of Birth (Children must be born between 2010-2015)
-
Month
-
Day
Year
Date
Gender
Male
Female
Non-Binary
Transgender
Prefer not to respond
Which Football Club are you registered too?
Does Your Child have any medical conditions that we should know about? Please specify any relevant medications that they may bring with them. (Please write 'nil' if none apply).
Parent/Guardian Details
First Name
Last Name
Email
example@example.com
Mobile Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which WPX Experience Camp would you like to register your child for?
Northland FC - 15th-16th April, Marist Clubrooms, Park Avenue, Whangarei
Dunedin City Royals - 8-9th July, Logan Park Turf Dunedin
Nelson FC 18th - 19th April - Trafalgar Park, Nelson
Emergency Contact (If different from above)
Any additional information you think we should know?
Is your child a Goalkeeper?
Yes
No
I give permission for the experience camp staff to take photos of my child that may be used on Wellington Phoenix social media?
Yes
No
I wish to receive communications from the Wellington Phoenix
Yes
No
Payment
An invoice will be sent to the email address provided. Payment in full is expected before the camp begins
By signing below, I agree not to bring any claim or proceeding against Wellington Phoenix, their sponsors, their employees and volunteers of the event for any damage, loss, injury or liability you or your child may suffer from participating in the event, within reason.
I consent to my child participating in this experience camp
Signature
Date
-
Month
-
Day
Year
Date
Any queries, please contact either jessf@phoenixacademy.co.nz or luket@phoenixacademy.co.nz
Submit
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