Futbal First X Goal Keepers United Program
Mount Waverley North Primary School
9 May - 27 June
Price
$90 per session or $660 incl GST per term (8 weeks)
Player Information
Player Name
*
First Name
Last Name
Age
Allergies/ Medical History
Age groups and time
*
9:30 - 10:30am, U9 / U10 (Boys and Girls)
10:30 - 11:30am, U11 / U12 / U13 (Boys and Girls)
Guardian Information
Guardian Name
*
First Name
Last Name
Relationship
Telephone Number
*
Please enter a valid phone number.
Format: 0000000000.
Email
*
johnsmith@gmail.com
Address
Street Address
Street Address Line 2
City
State
Postcode
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Relationship
Telephone Number
*
Please enter a valid phone number.
Format: 0000000000.
Are you combining this with our Futsal Program? If so, you may be entitled to a $50 discount)
*
Yes
No
Do you have more than one child in our programs? (If so, you may be entitled to a 10% sibling discount)
*
Yes
No
Do you agree for our team to take photos and/or videos that may be used for promotional purposes?
*
Yes
No
Payment
Invoice will be sent to you
Submit
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