Timaru 3-Day April Holiday Camp - Registration Form
IMS Performance Football is offering an 3-day football development camp in Timaru in partnership with Timaru United SC. Designed for players 5-18 for looking to have fun, improve & get coached by experienced players & coaches! Open to motivated players across Timaru & beyond.
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.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Programme & Payment
Which program will your child be attending?
*
5-12 Years Old (9:00-2:00PM)
Select Group (For players with high potential 13+ - Must be accepted) (4:30-5:45PM)
Which days will you be attending?
*
Sunday - $50
Monday - $50
Tuesday - $50
All 3 days - $140
Other
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: