Goalkeeper Camp - West Beach Parks Football Centre
Registration form
Personal Information
Person Responsible for the Team
Name
*
First Name
Last Name
Email
*
example@example.com
Age Group
*
9-12 Year Old
13-16 Year Old
Select date
*
18th & 19th April
Player details
*
Has any player been identified as living with a disability?
*
Yes
No
Please specify
*
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GK School Holiday Camp
Please buy a ticket for each registered player
$
110.00
AUD
Quantity
0
1
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GK School Holiday Camp ***ONE DAY ONLY***
$
55.00
AUD
Quantity
0
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit registration
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