Grasshopper Soccer Trials
Registration of Interest form
Registering for a trial here doesn't guarantee a spot for the term since enrollments remain open until the term begins.
We will contact you as soon as a trial session becomes available. If your preferred location is full, we'll suggest another nearby spot for a trial. We're dedicated to finding a fit for every budding soccer star! 🌱⚽
Parent Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Post Code
Email
*
example@example.com
Mobile number
*
Child Name
*
First Name
Last Name
Child's date of birth
*
-
Month
-
Day
Year
Date
Does your child have any medical condtions we should be aware of?
YES
NO
Medical Condition details
Please note the contents of this form remain confidential and records are kept for a maximum of 12 months
How did you hear about Grasshopper Soccer?
*
Please Select
Word of mouth
Social Media
Grasshopper Website
Google
Road sign
School / Kindy / Childcare
Other
What location are you attending?
*
Athelstone Primary school - Saturday
Cowandilla western youth centre - Saturday
Mitcham Girls High- Sunday
Urrbrae High - Saturday
Lockleys Primary school - Sunday
Flagstaff Hill Primary - Sunday
Bellevue Heights Primary - Thursday
What program are you attending?
*
9am start - Mite Program for 2yrs to 3yrs - 35mins (Parents participating)
9am start - Pint Program for 4yrs to 5yrs - 50mins (Parents participating)
10am start - Pint Program for 4yrs to 5yrs - 50mins (Parents participating) Avail. at Unley Saturday only.
10am start - Intro Program for 5yrs to 6yrs - 60mins
10am start - Micro Program for 7yrs and above - 75mins
Afterschool Program
4pm start - Afterschool Program from 6yrs and above
I understand that my registration here doesn’t secure a spot in the term, and I will only be contacted via email or text after a trial session becomes available.
*
Yes, I understand and will not attend until I receive a confirmation.
PARENT/GUARDIAN CONSENT I hereby authorise Grasshopper soccer to act on my behalf should my child require medical attention and release Grasshopper Soccer from any liability for injury incurred to my child at Grasshopper Soccer programs.Photos/videos of children attending these programs may be used for reasonable promotional purposes by Grasshopper Soccer. (Tick No Photos if you do not consent to pictures being used or leave blank if agree)
*
I consent
NO PHOTOS
Submit
Should be Empty: