Player Name
*
First Name
Last Name
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000000000.
Gender
*
Please Select
Female
Male
Other Gender
Participants year of birth
*
Please Select
2015
2014
2013
2012
2011
2010
2009
2008
Participants local AFL club
*
Please note if and where participant played School AFL
*
Please disclose all relevant medical conditions and injury information that may affect a players safety and involvement in physical activity. Please note our programs involve conditioning exercises that are very strenuous for some participants.
Venue Information
*
Please note our venue is a large outdoor venue in a public area. Participants attending will be supervised at all times and must stay with the group during the program duration.This program is not suitable for participants who have a history of running off on their own.
You consent to your children’s/person under your care image being used by MB Sports for promotional purposes. Photos and or videos from these sessions may be used on MB Sports Instagram or Facebook posts
*
Yes
No, I do not consent to my child's image being used
I hereby declare that to my full knowledge and capacity, I give my full permission to let my child be treated by a qualified medical physician in any circumstance that such attendance be so required to perform all or any immediate medical check-up or treatment. I am fully aware that this sport activity may cause accidental injury to registered players. I likewise assume any and all possible risk that may cause injury, illness, or death arising from such activity. I hereby declare that I waive my right to pursue any and all claims against MB Sports and the coaches associated with this program should in any case that the accident, injury or illness occurs in the course of any activity conducted by them. ABSENCES - I understand that if my child is absent from the program that the program can not be caught up at a later date. Refunds/credits are not provided for an absence. Absences include general illness. WET WEATHER - I understand that sessions will run in some wet weather. Alternate indoor activities may substitute outdoor AFL activities for part or all of a session. If a session is cancelled due to weather, MB Sports will organise a make up session and refunds will not be applied to wet weather cancellation. Sessions that are cancelled will be done so no later than 45 minutes prior to the start of the session. POOR BEHAVIOUR - I understand that coaches at MB Sports will not tolerate any bullying or constant disruptive behaviour and that any of these instances may result in children being removed from the remainder of the program with no refund. I understand that I have a responsibility to help coaching staff maintain a fun learning environment by monitoring my child's behaviour when at the sessions. BEHAVIOUR MANAGEMENT PROCESS - to ensure maximum enjoyment of our program for all of our young participants, the following behaviour management procedures will be followed by coaching staff in the result of constant disruptive behaviour; 1. Coach discussion with child to highlight why the behaviour is disruptive and not acceptable. 2. Coach will ask the child to take a time out on the side of the playing area next to the coach. 3. Coach will ask the child to take a break from the current activity and sit with an assistant coach for a longer duration. 4. The Lead Coach will call parent and advise child will need to be collected from program
*
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Wednesday 16 April - $49
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