"2025 Pirates Summer Program" Registration Form
Register for the Summer program below:
Player Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Date
Age in 2025
*
Please Select
4
5
6
7
8
9
10
11
12
Club Played 2024
*
Previous Club if played before if not put N/A
Division in 2024
*
Level played if played before if not put N/A
Suburb you live*
*
Name of School
*
Parent Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Parent Mobile
*
-
Area Code
Mobile Number
Pirates 5 weeks Summer Program
prev
next
( X )
Tuesday Package
$
100.00
AUD
5 Week training with qualified coaches. Commencing Tuesday 4th February at 5.00pm for 4 - 12 years of age at Hammond Park. Each session is for approx. 60 minutes.
Quantity
1
2
3
4
5
6
7
8
9
10
Thursday Package
$
100.00
AUD
5 Week training with qualified coaches. Commencing Thursday 6th October at 5.00pm for 4 - 12 years of age at Hammond Park. Each session is for approx. 60 minutes.
Total
$
0.00
AUD
Active Kids Voucher Number
You MUST email a copy of voucher
Pirates Bank Account details:
Account Name: Ashfield Pirates FC BSB: 082-338 Account number: 989171847 Once payment made in full please send through a copy of the payment to info@piratesfc.com.au. Active kids voucher will be redeemed on your behalf and refunded to you with in 14 days. Please provide your bank account details.
Comments
Any additional information about your child.
Submit
Should be Empty: