KANO TEKKERS CAMP 2024 APRIL SCHOOL HOLIDAYS

KANO TEKKERS CAMP 2024 APRIL SCHOOL HOLIDAYS

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Participant Name*

First NameLast Name
Birth Date*

DayMonthYear
Age Group*
Location Attending*
Allergies/Medications*
Type Nil if no allergies/medications
2024 Football (Soccer) Club*
Please indicate if your child is playing for a local soccer club this year. If none then please write NIL.
2024 Attending School*
Please indicate what school your child is attending in 2024
Primary Parent/Guardian Information*

First NameLast Name
Mobile Number*
This number will be used to communicate all important SMS messages and updates
Relationship*
E-mail*
example@example.com
Confirm E-mail*
example@example.com
ACTIVE KIDS VOUCHER

Type in your 10 digit alphanumeric number in two parts
First 5 characters
Last 5 characters
Informed Consent and Acknowledgement

Football Sydney Group trading as KANO FOOTBALL DISCLAIMER and Terms of registration
PARENT/GUARDIAN MUST AGREE TO DISCLAIMER / Terms of registration BEFORE PARTICIPATION

Your Permission:

I (the undersigned) give permission for my child / registered participant to attend the Kano Football programs/clinics and will not hold Football Sydney Group and/or Kano Football, its staff, sponsors/partners, or volunteers responsible for damage and or loss of property and or accident and or injury and or death or illness.

I also give permission for an ambulance & medical attention should the need arise.
The parent/guardian gives permission to Kano Football to take photos & videos of the participant for the purpose of promotional material & social media use such as but not limited to Facebook, Instagram, and Twitter.

I the parent also agree not to send my child if:
- They have any cold or flu symptoms
- Have been instructed by NSW/VIC Health to self-isolate.

The Parent/Guardian & player acknowledge all fees are strictly non-refundable. Fees will ONLY be refunded if the application is not accepted. *

If you do not wish to agree with any of the terms above please confirm this in writing prior to completion of your registration.

My Products*

KANO TEKKERS CAMP : 2 days from 8:30am-3:30pm

$140.00AUD

KANO TEKKERS CAMP : 2 days from 8:30am-3:30pm (USING ACTIVE KIDS VOUCHER)

$90.00AUD

KANO TEKKERS CAMP : 1 day from 8:30am - 3:30pm / PARRAMATTA DISTRICT ONLY

$80.00AUD

KANO TEKKERS CAMP : 1 day from 8:30am - 3:30pm / PARRAMATTA DISTRICT ONLY (USING ACTIVE KIDS VOUCHER)

$30.00AUD

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Total

$0.00AUD

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First Name	Last Name
Credit Card Number	Security Code
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Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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