2026 Football Clinic Form

BFA Football Clinic Form Term 1

Boys & Girls U6 - U10
Clinic Program Details

Dates
15 & 16 April

Time
9AM - 12PM

Location
Bankstown Community Football
Player Registration Details
Player Name*

First NameLast Name
Player Date of Birth*

DayMonthYear
Date
Any medical conditions we need to be aware of? If yes, please provide details below.
Parent/Caregiver Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: 0000 000 000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Program Selected*

Football Clinic Term 1

Player cost for 2 day football clinic

$160AUD

I am aware of my child participating in this program. I acknowledge that risk of injury is inherent in sports such as football and that from time to time, there may be accidents and falls which may cause serious injury to the participant. I indemnify Gabriel Gomes in person and The Brazilian Football Academy against any claim for damages against them as a result of any injury to my child. I certify that my child is in good health and able to participate in all activities. I agree to notify the coaching staff of any pre-existing medical or psychological conditions. If attention is required for illness or injury, I give my permission to a staff member for such care. The Brazilian Football Academy may use images taken from the BFA Academy Events on the BFA Website. If you do not want your child included in marketing images, please advise the coaching director directly that you do not permit the use of these images.
Signature (parent/caregiver)*

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BFA Football Clinic Form Term 1