Precision Football - Term 3 Development Programs

Precision Football - Term 3 Development Programs

Which location will your player be attending?*

Dunlop Park8 Wk Program

$200.00AUD Quantity

Mayfield State School8 Wk Program

$200.00AUD Quantity

4 wks$32.50/per session

$130.00AUD Quantity

Full Kit (No need to order jersey if ordering full kit) Product Image

Full Kit (No need to order jersey if ordering full kit) Jersey, Short & Socks

$65.00AUD Quantity

Jersey ONLY (compulsory for participation)

$40.00AUD Quantity

Cap - Grey or NavyOne size fits all

$25.00AUD Quantity

I Already Own a Kit

$ FreeAUD Quantity

Total

$0.00AUD

Credit Card

Player Information*

First NameLast Name
Gender*

FemaleMalePrefer not to answer
DOB*

DayMonthYear
Date
Team & club registered for in 2024 (N/A if not playing club)*
Address (Only suburb required)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Home Number
Please enter a valid phone number.
Email*
example@example.com
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.
Authorization*

I give permission for Precision Football to photograph and use images of my childrenI DO NOT give permission for Precision Football to photograph and use images of my children
Terms & Conditions Rearrangement/cancellation of sessions must be made no later than 48 hours prior to session start time. If less than 48 hours of start time, no refunds will be eligible. On the very rare occasion that weather affects our ability to deliver the full session, but 50% of the session has already been delivered, the session wil be considered complete. If less than 50% is completed then you will be able to reschedule the session for future use.
Medical Release and Authorization As the Parent/Guardian of the above player/s, I hereby hold Precision Football harmless from any and all liability resulting from any accident, illness, injury or losses that my child may suffer while training with Precision Football. By signing this I certify that he/she is in excellent health and has no physical problems which are likely to prevent participation in the clinic.
Confirmation BY SUBMITTING THE FORM, 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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