Clone of Term 4 Registration Form

Have you previously registered with CVFA?*

YesNo
Player Name*

First NameLast Name
Player Birth Date

MonthDayYear
Gender

MaleFemale
Current team & Level
Experience
Player Position
Goals and Aspirations
Parent Contact Name

First NameLast Name
Parent Contact Phone
Parent Contact E-mail
example@example.com
Package*

Group sessions - Full Term 4 (9 Weeks) ($270pp)Group sessions - Pay weekly ($30pp)One on One Training - Pay Weekly ($60pp)One on One Training - 3 Sessions ($150pp)One on One Training - 5 sessions ($250pp)One on One Training - Full term (9 Weeks)($450pp)
Age Group and time*

Monday 7am - One on OneTuesday 7am - One on OneTuesday 5:15pm - One on OneWednesday 7am - One on OneThursday 7am - One on OneThursday 5:15pm- One on OneSunday 8am - One on OneSunday 10am - One on OneFriday 4pm Group - 8-11 years oldFriday 5pm Group - 12-15 years old
Comments / Questions:
Should be Empty: