St Andrew's Primary School

Coach Max Football Academy - St Andrew's Primary School - Student Registration Form

Fill out the form carefully for registration
Student Name*

First NameLast Name
Birth Date*

DayMonthYear
Gender*
Thursday PM - 2.50pm to 3.50pmWednesday AM - 7.20am to 8.20am - Academy Program - !NO SPOTSTuesday AM - 7.20am to 8.20am (Prep & Year1) - !NO SPOTS
Contact*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.Format: 0000 000 000.
Does the participant have any allergies or medical conditions we should be aware of*
Additional Comments
Should be Empty:

Coach Max Football Academy - St Andrew's Primary School - Student Registration Form