Clone of FFC Registration Form

Freddi's Football Coaching

Term 1 Registration 2026
You will need to fill out one registration per child.
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Male/Female*
Level experience

BeginnerIntermediateAdvanced
Select location and format
Westlake Girls High School

Tuesdays 4:45 PM to 6:00 PMThursdays 4:45 PM to 6:00 PMTwice a week
Macleans College

Wednesdays 4:45 PM to 6:00 PM
FFC Coaching Fees 2026

Westlake Girls High School
$295 – Once a week - 10 sessions - 27th Jan to 2nd April
$440 – Twice a week - 20 sessions - 27th Jan to 2nd April

Macleans College

$250 – Once a week - 8 sessions - 4th Feb to 25th March

Fees are for the full Term 1 training programme. An invoice will be emailed once your registration is received.
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
UNIFORM INFORMATION

https://www.dynastysport.co.nz/pages/size-chart
Junior Shirt
Junior Shorts
UNIFORM COSTS

FFC Training Kit – $75
(includes training shirt, shorts, and socks)
Official Match Shirt – $55
(with sublimated name & number at the back)
Chosen name on shirt: (exactly as you’d like it printed)
Preferred number(s): (please list more than one option in case your first choice is unavailable)
Academy Premier League (APL) – Term 1 2026
During Term 1, FFC will compete in the Academy Premier League (APL).
Matches are scheduled for Sunday mornings between 9:00 am and 1:00 pm from 15th February to 29th March.

Additional Player Fee: $250
This fee covers player registration and coaching fees for 6 rounds plus Finals/Cup Day (7 weekends in total).
Availability for APL selection:

Yes, I’m available for APL selectionNo, I’m not available / not interested

MEDICAL & EMERGENCY INFORMATION
Emergency Contact's Name

First NameLast Name
Phone Number

Area CodePhone Number
Medical Concerns
Does the player have any allergies, chronic illness, or medical conditions? If yes, please describe.
Informed Consent and Acknowledgement
I hereby provide my consent for my child's participation in all activities organized by FFC during the sessions. By accepting my child's participation, I acknowledge and accept all the potential risks and hazards associated with these activities. I release, exempt, and indemnify FFC and all its officials, representatives, and agents from any responsibility for injuries that may occur to my child during their travel to, engagement in, or return from the sessions.

If my child sustains an injury, I waive any claims against FFC, including its coaches, affiliates, fellow participants, supporting organizations, advertisers, and, if applicable, the owners and landlords of the premises where the event is held. Engaging in sports activities, including football, inherently carries a risk of injury, which may include but is not limited to fractures, paralysis, or even fatality.
Medical Release and Authorization
As the legal guardian of the youth athlete listed, I hereby grant permission for qualified and licensed medical professionals to diagnose and administer treatment in the event of a medical emergency. This authorization is applicable when, in the medical professional's judgment, immediate attention is necessary to prevent further harm to the minor child's life, physical appearance, physical functionality, or to alleviate undue pain, suffering, or discomfort should there be a delay in treatment.

I hereby give consent to the attending physician to undertake any necessary medical or minor surgical procedures, conduct X-ray examinations, and administer immunizations to the youth athlete named. In cases of a serious illness, the requirement for major surgery, or significant accidental injury, I am aware that the attending physician will make every reasonable effort to contact me as swiftly as possible before proceeding with treatment. This authorization is granted after a reasonable attempt has been made to reach me.

I also authorize the affiliated individuals, including Directors, Coaches, and Team Parents, to provide essential emergency treatment before the child is admitted to a medical facility.

This consent is valid during the dates and for the duration of the registered season. I willingly provide this authorization to ensure prompt medical treatment under emergency circumstances, safeguarding the life and well-being of the named minor child when I am not present.
Once your registration is received, you will receive an invoice with payment details and reference number. Your spot will only be confirmed once payment is received
Should be Empty:

Freddi's Football Coaching

CHILD INFORMATION:

Select location and format

PARENT/GUARDIAN INFORMATION:

UNIFORM INFORMATION

MEDICAL & EMERGENCY INFORMATION

Informed Consent and Acknowledgement

Medical Release and Authorization