KFIT ATHLETIC HOLIDAY TACKLING CLINIC REGISTRATION
Register for our holiday tackling clinic, select your session, complete the waiver and consent, and choose your payment option.
Participant Full Name
*
First Name
Last Name
Participant Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Male
Female
Other / Prefer not to say
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select Your Session
*
Mini Boys & Girls 6-9 – $80
Mod Boys & Girls 10-12 – $80
International Boys 13-17 – $100
International Girls 13-18 – $100
Club/School
Waiver: I acknowledge the risks associated with participation and agree to the clinic's terms.
*
Consent to be filmed/photographed during the clinic
*
Yes, I consent
No, I do not consent
Consent Confirmation (tick to confirm)
*
I confirm my consent choice above
Payment Options
Online Payment (preferred): Complete your payment via this secure link
Bank Transfer Option: BSB: 484799, Account number: 352351986
Payer Name/Reference (if paying by bank transfer)
Submit Registration
Submit Registration
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