Brothers Aston Villa Football Clinic
Football clinic for kids - all clubs welcome. ALL AGE GROUPS NOW THURSDAY 1st OCTOBER
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Division Played in 2026
*
Please Select
U6
U7
U8
U9
U10
U11
U12
U13
U14
N/A
Club played for in 2026 (N/A if did not play club)
*
Previous Representative Honours (e.g FQ Academy, Private Academies, School Sport. N/A if haven't played representative football)
*
Does your child have any allergies or medical conditions?
Clinic date (Click on date corresponding to age group that played in 2026)
*
All age groups Thursday 1st October
I consent to my child's participation and understand basic first aid will be administered if required
*
Yes
My Products
*
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Brothers Aston Villa Football Clinic
$45.00 AUD
$
45.00
AUD
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