Holroyd Rangers Academy (Term 4 2026)
Term 4 Registration Form
Participants Full Name
First Name
Last Name
Participants Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Full Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Session Type ( TERM 4 2026)
Monday Beginner/Intermediate Session x 10 ($290)
Monday Advanced Session x 10 ($290)
Friday Beginner/Intermediate Session x 10 ($290)
Monday Advanced Session x 10 ($290)
Monday & Friday Beginner/Intermediate Session x 20 ($420)
Monday & Friday Advanced Session x 20 ($420)
Monday Goal Keeper Session x 10 ($320)
Monday One on One 1 Hour Session x 10 ($800)
Friday One on One 1 Hour Session x 10 ($800)
Make your payment & add payment reference below. Sydney Jets FC / BSB 032349 / ACC 509957
Submit
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