Formulario

2026- REGISTRATION AND PAYMENT FORM
PLAYER/S DETAILS
PLAYER NAME

First NameSurname
2ND PLAYER NAME (ADDITIONAL)

First NameSurname
3RD PLAYER NAME (ADDITIONAL)

First NameSurname
DATE OF BIRTH ( PLAYER)

DíaMesAño
Date
DATE OF BIRTH (PLAYER)

DíaMesAño
Date
DATE OF BIRTH (PLAYER)

DíaMesAño
Date
GENDER
CURRENT CLUB (IF ANY)
PARENT/GUARDIAN INFORMATION
PHONE NUMBER
Please enter valid phone numberFormat: (000) 000-0000.
NAME

First NameSurname
EMAIL
example@example.com
We want to ensure your child stays safe and healthy. Does your child have any allergies or medical conditions we should know about? Please describe them below.
AuriaProAcademy - Terms & Conditions
By enrolling in our Coaching Programs, you agree to the following terms:

Policy Agreement: You confirm that you have read and agree to the AuriaProAcademy policies as outlined on our website. You can review them via the following link: [Insertar enlace a las políticas de AuriaProAcademy aquí]

Participation: Your child will participate in various training sessions and activities organized by AuriaProAcademy.

Supervision: All activities will be overseen by our qualified coaching staff to ensure a safe, supportive, and well-managed environment.

Emergency Medical Care: In the event of a medical emergency, you authorize AuriaProAcademy staff to seek necessary medical assistance or treatment for your child.

Media Consent (Photography and Videography): You grant permission for your child to be photographed or recorded during sessions for promotional purposes. If you do not wish to provide this consent, please notify us in writing prior to the start of the program.

Transportation: If transport services are provided by the academy, you agree to abide by the specific terms and conditions established by AuriaProAcademy regarding travel and logistics.

Liability Waiver: You acknowledge that participating in our coaching programs involves inherent risks. Consequently, you release AuriaProAcademy, its coaches, staff, and organizers from any liability regarding accidents, injuries, or the loss of personal property.

Please read these terms carefully before proceeding.
By ticking the box I agree with the Terms, Conditions & Policies listed.

OUR PRODUCTS

TERM 2 FULL TERM (10 weeks) ( 2 DAYS PER WEEK)

(8-12 YEARS)

$450.00 AUD Quantity

TERM 2 HALF TERM (5 weeks) ( 2 DAYS PER WEEK)

(8-12 YEARS)

$225.00 AUD Quantity

TERM 2 HALF TERM ( 5 Weeks) ( 1 DAY PER WEEK)

$150.00 AUD

TERM 2 FULL TERM (10 weeks) (1 DAY PER WEEK)

(8-12 YEARS)

$300.00 AUD Quantity

SKILL DAYS (FT 10 weeks)

(8-12 YEARS) (ON WEDNESDAYS)

$290.00 AUD Quantity

SKILL PROGRAM FOR EXISTING AURIA PRO PLAYERS (FT 10 WEEKS)

(8-12 YEARS) (ON WEDNESDAYS)

$180.00 AUD Quantity

Total

Debit or Credit Card
First Name	Surname
Card number	Security Code
Expiry Month	Expiry Year

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2026- REGISTRATION AND PAYMENT FORM

PLAYER/S DETAILS

PARENT/GUARDIAN INFORMATION

OUR PRODUCTS