TFA Holiday Soccer Clinic Registration
Register your child for the school-holiday football clinic and provide medical, emergency, and permission details.
Clinic
Which clinic days will your child attend?
*
Mon 18 Jan
Tue 19 Jan
Wed 20 Jan
Thu 21 Jan
Are you also registering a brother or sister?
*
No
Yes, one more child
Yes, two more children
Price
Amount to pay
Child’s Details
Child’s full name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
Boy
Girl
Prefer not to say
Current football club
Current playing age group (e.g. U9)
How long has your child been playing football?
*
First time playing
Less than 1 year
1–2 years
3–5 years
More than 5 years
Medical Information
Does your child have any medical conditions we should know about?
*
Yes
No
Please give details
*
Does your child have any allergies?
*
Yes
No
Please give details
*
Does your child take any medication?
*
Yes
No
Please give details, including anything coaches need to do
*
Does your child have any injuries or physical limitations we should be aware of?
*
Yes
No
Please give details
*
Football Development
Usual position
Goalkeeper
Defender
Midfielder
Forward
Not sure or plays everywhere
Improvement goals
Ball mastery
First touch
Passing and receiving
Dribbling
Shooting and finishing
Speed and agility
Confidence
Overall football development
What are your child's main football goals?
Parent / Guardian Details
Parent / Guardian Full Name
*
First Name
Last Name
Australian Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Residential Suburb
*
Emergency Contact
Emergency Contact Name (If possible, someone other than you)
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Child
*
Please Select
Parent/Guardian
Grandparent
Aunt/Uncle
Sibling
Family Friend
Other
Collection and Permissions
Who is authorised to collect your child? (Names and relationship to the child)
*
Can your child be photographed or filmed during training for TFA promotional and social media purposes?
*
Yes
No
I give permission for my child to take part in all football activities at the clinic.
*
I agree
I authorise TFA coaches to give first aid and, if needed, call an ambulance or get medical help for my child.
*
I agree
Final Confirmation
I understand what my child must bring.
*
I understand
I confirm that the information provided is accurate.
*
I confirm
I understand that I must tell the coaches about any changes to my child's medical or emergency information.
*
I understand
Parent/guardian electronic signature
*
Submit
Submit
Should be Empty: