You can always press Enter⏎ to continue
SBD All Girls Skill Sessions Enrolment Form
Hi there, please fill out and submit this form, if you are on a mobile device remember to swipe across to select the session/s that you wish to enrol for.
16
Questions
START
1
All Girls Sessions
Held at Reynella East College
Friday 5-6 PM (Invitation Only)
Please Select
Friday 5-6 PM (Invitation Only)
Previous
Next
Submit
Press
Enter
2
Player Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
3
Date of Birth
*
This field is required.
-
Date
Day
Month
Year
Previous
Next
Submit
Press
Enter
4
Current Age
*
This field is required.
Previous
Next
Submit
Press
Enter
5
Gender
*
This field is required.
Male
Female
Previous
Next
Submit
Press
Enter
6
Previous playing experience
*
This field is required.
No experience
School
Club
Federation
Other
Previous
Next
Submit
Press
Enter
7
How many years of experience does the player have?
*
This field is required.
Previous
Next
Submit
Press
Enter
8
At which school/club did the player gain this experience?
*
This field is required.
Previous
Next
Submit
Press
Enter
9
Does the player have any pre-existing medical conditions
*
This field is required.
Previous
Next
Submit
Press
Enter
10
Do you consent to your child being photographed or recorded for use in Soccer By Design’s promotional materials, including social media and our website?
*
This field is required.
(If you select No, please confirm in writing via email to accounts@soccerbydesign.com.au)
Please Select
YES
NO
Please Select
Please Select
YES
NO
Previous
Next
Submit
Press
Enter
11
Do you consent to Soccer By Design seeking medical treatment for your child, including calling an ambulance if required, and accept responsibility for any associated costs?
*
This field is required.
Please Select
YES
NO
Please Select
Please Select
YES
NO
Previous
Next
Submit
Press
Enter
12
I understand that participation in soccer and related activities involves a degree of risk and agree that Soccer By Design, its staff, and volunteers are not liable for any injury, loss, or damage, except where required by law.
*
This field is required.
Please Select
YES
NO
Please Select
Please Select
YES
NO
Previous
Next
Submit
Press
Enter
13
Parents Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
14
Phone Number
*
This field is required.
Previous
Next
Submit
Press
Enter
15
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
16
Date
-
Date
Day
Month
Year
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
16
See All
Go Back
Submit