Sunday Skills Programme - Registration Form
The IMS Performance Football Sunday Skills Programme is a fun, active and confidence building football programme for boys & girls aged 4-12. Sessions run Sunday mornings at Petone Memorial Park in Lower Hutt and focus on skill development, coordination, and enjoyment of the game.
Player Details
Full Name
*
First Name
Last Name
Age
*
Player Gender
*
Male
Female
Prefer not to say
Current Club (if applicable)
Playing Experience
Beginner / New to football
Plays socially or school football
Plays club football
Parent / Guardian Details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name
First Name
Last Name
Emergency Phone Number
*
Please enter a valid phone number.
Programme & Payment
Session Selection
*
Weekly payments - $30 per session
5-week block (discounted rate - $25 per session)
Other
Preferred Start Date
Starting Feb 22nd
Joining Later (We will contact you)
How did you hear about IMS Performance Football?
Medical & Consent
Does your child have any medical conditions, injuries, or allergies we should be aware of? (If none, please write N/A)
Photography & Video Consent
*
I give permission for my child to be photographed or filmed during sessions for coaching & promotional purposes
I do not give permission
I acknowledge that participation in football activities carries a risk of injury and that IMS Performance Football is not liable for injuries sustained during sessions.
*
Agree
Disagree
FInal
Anything else we should know about your child?
Submit EOI
Should be Empty: