Term 3 Victory Intermediate Academy program

Victory Intermediate Academy Program

10 weeks per term, starting on 20th July 2026.
Participation Information
Name

First NameLast Name
Date of Birth

DayMonthYear
Date
Gender
Parent/Guardians Name

First NameLast Name
Phone Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Medical Information
Medical Conditions
Does the child have any illnesses, allergies, medical conditions or special needs?
In the event of an emergency & you are unreachable, do you give us permission to contact an Ambulance service?
Payment
Prefer payment type
Choose Options
Do you need to purchase a uniform?
Bank Details

Bank: Commonwealth Bank

Name: Sydney Victory Football Academy

BSB: 062268

Account: 10447295

Reference: Child's name
Credit card Payment
prevnext( X )
1 training per week
$375 + Merchant fee

$382.00 AUD



2 training per week
$565 plus Merchant fee

$575.35 AUD



3 training per week
$675 plus Merchant fee

$687.30 AUD



Purchase uniform
$85 plus Merchant fee

$86.60 AUD



Total

$0.00 AUD
Should be Empty:

Victory Intermediate Academy Program