FB9 Holiday Clinic

Player Full Name

First NameLast Name

Gender

Player DOB

DayMonthYear

Playing Level

Parent/Guardian Full Name

First NameLast Name

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Email

example@example.com

Full Clinic Package

Access to all 3 days (Save $50).

$250.00 AUD

Clinic Registration - Single Day

Register for a single day of your choice.

$100.00 AUD

Day	Quantity
Day 1 - Technical Mastery
Day 2 - 1v1 Domination
Day 3 - Small Sided Games & Competition

FB9 Jersey (Optional)

$65.00 AUD QuantitySize

Total

Credit Card

Apple Pay

Afterpay

I consent to my child being photographed and/or filmed during FB9 Academy activities for promotional and marketing purposes

Time

Hour Minutes

AM/PM Option

Location

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry