Holiday Program
Sutherland Shire - Illawong Hertiage Oval, Illawong
Participant Full Name
*
First Name
Last Name
Date Of Birth
*
-
Day
-
Month
Year
Date
Parent Full name
*
Email
*
example@example.com
Mobile Number
*
Emergency contact 2 - Full name
*
Mobile Number
*
Do you give consent for your child to be filmed for social media content?
*
Yes
No
Does your child suffer from any medical conditions that might affect their participation?
Pricing Options (inc gst.)
prev
next
( X )
3 Days
$135.00 AUD
$
135.00
AUD
2 Days
$115.00 AUD
$
115.00
AUD
1 Day
$75.00 AUD
$
75.00
AUD
Black Hat
$16.00 AUD
$
16.00
AUD
White Hat
$16.00 AUD
$
16.00
AUD
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
If your child is not attending all 3 days, please list the days your child will be attending
How did you hear about the MT Football Holiday Program?
Referred by a friend
Facebook / Instagram
Returning player
SUBMIT
Should be Empty: