(KENSINGTON GIRLS VIC) KANO CHAMPIONS CAMP 2025 JULY SCHOOL HOLIDAYS

(KENSINGTON GIRLS VIC) KANO CHAMPIONS CAMP 2025 JULY SCHOOL HOLIDAYS

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Participant Name*

First NameLast Name
Birth Date*

DayMonthYear
Age Group*
Location Attending*
Allergies/Medications*
Type Nil if no allergies/medications
2025 Football (Soccer) Club*
Please indicate if your child is playing for a local soccer club this year. If none then please write NIL.
2025 Attending School*
Please indicate what school your child is attending in 2025
Primary Parent/Guardian Information*

First NameLast Name
Mobile Number*
This number will be used to communicate all important SMS messages and updates
Relationship*
E-mail*
example@example.com
Confirm E-mail*
example@example.com

My Products*

KANO CHAMPIONS CAMP (KENSINGTON VIC GIRLS): 2 days from 8:30am-3:30pm

$140.00AUD

KANO HOLIDAY KIT (OPTIONAL FOR ALL PLAYERS:

$40.00AUD Jersey & Shorts Size

Socks (Only available if purchasing the Jersey & Shorts)Please select based on shoe size

$ FreeAUD Shoe Size

Enter coupon

Total

$0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Informed Consent and Acknowledgement

Football Sydney Group trading as KANO FOOTBALL DISCLAIMER and Terms of registration
PARENT/GUARDIAN MUST AGREE TO DISCLAIMER / Terms of registration BEFORE PARTICIPATION

Your Permission:

I (the undersigned) give permission for my child / registered participant to attend the Kano Football programs/clinics and will not hold Football Sydney Group and/or Kano Football, its staff, sponsors/partners, or volunteers responsible for damage and or loss of property and or accident and or injury and or death or illness.

I also give permission for an ambulance & medical attention should the need arise.
The parent/guardian gives permission to Kano Football to take photos & videos of the participant for the purpose of promotional material & social media use such as but not limited to Facebook, Instagram, and Twitter.

I the parent also agree not to send my child if:
- They have any cold or flu symptoms
- Have been instructed by NSW/VIC Health to self-isolate.

The Parent/Guardian & player acknowledge all fees are strictly non-refundable. Fees will ONLY be refunded if the application is not accepted. *

If you do not wish to agree with any of the terms above please confirm this in writing prior to completion of your registration.
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.
Signature*

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