New Player Registration Form

My Products*

Valencia CF Adelaide July Camp

$425.00AUD Quantity

Additional Training Kit

Make the week that bit easier with a second kit. This includes the jersey, shorts and socks.

$99.98AUD Quantity

Enter coupon

Total

$0.00AUD

PLAYER INFORMATION
Players Name*

First NameLast Name
Date of Birth*

DayMonthYear
Gender

MaleFemalePrefer not to say
Player Nationality
KIT SIZING (Come as a Package)*
Allergies
Medicines
I give permission to Valencia CF Adelaide to us the image of my child for media and marketing material.

I give permission
Parent Information
Name*

First NameLast Name
Phone Number *
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I give permission to the coaches and/or camp officials to assist my child in the case of emergency*

I give permission.
CAMP LOCATIONS
O'Sullivan's Beach Sports and Community Complex, Marine Dr, O'Sullivan Beach SA 5166

(JULY 14th-17th)
Select Your Location*
Session Times

9am-12pm
How did you hear about us?*

Please refer two people whom you feel would be interested in this type of program:

VALENCIA CF ADELAIDE