Green Gully Academy Registration
Players Name
*
First Name
Last Name
Player's Year of Birth
*
Year of birth only (eg 2011)
Parent's Email Address
*
example@example.com
Parent's Mobile Number
*
-
Area Code
Phone Number
Current Club:
Select your 2025 Age Group
Please Select
U6
U7
U8
U9
U10
U11
U12
U13
U14
Is there any existing medical conditions or injuries which Green Gully Soccer Club Should be aware of?
Yes
No
Please provide details of existing medical conditions or injuries.
Fees Due:
*
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Academy Fees Per Term
Includes Green Gully SC T-Shirt
$250.00 AUD
$
250.00
AUD
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: