Free Trial term 2 2025

Student's Name*

First NameLast Name

Birth Date

MonthDayYear

Gender

MaleFemaleOther

Parent/Guardian Information

Parent/ Guardian Name

First NameLast Name

Phone Number

E-mail

example@example.com

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Alt. Phone Number

Does the Player have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is the Player prescribed an inhaler? If yes, please explain any instructions.

Class Selection*

KID GOAT - 2 to 4 YO - Kicks off at 09:00amJUNIOR GOAT - 5 to 8 YO - Kicks off at 10:00am

How did you hear about GOAT Football Academy? Please select one of the options below:

FriendSocial MediaFlyerSchool Flyer

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by GOAT FOOTBAll Academy during the selected camp. In exchange for the acceptance of said child’s candidacy by GOAT FOOTBAll Academy, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless GOAT FOOTBAll Academy . and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against GOAT FOOTBAll Academy . including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.

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.

Info

For more information please contact us:

Facebook - GOAT Football Academy

goatfacademy@gmail.com

Payment is only required if you decide to continue for the Term.

Media Consent Notice: GOAT Football Academy may occasionally take photos and/or record videos during training sessions and events. These images and videos may be used for:Social media postsMarketing and promotional materialsPublicity related to GOAT Football Academy activitiesIf you DO NOT give permission for your child to be photographed and/or filmed, please check the box below:*

I do not give permission for my child to be photographed and/or filmed during GOAT Football Academy activities.I do consent permission for my child to be photographed and/or filmed during GOAT Football Academy activities.

Date

Signature

Location:
Wirreanda Secondary School

States Road, Morphett Vale SA

Google maps:

Click here for google maps Directions

Player's Information