EmailMeForm
School Holiday Clinic
*
Please select
Single Day $100.00
Two Days $200.00
Three Days $280.00
Single and Two Day Players Please Select Your Preferred Days
Tuesday 30th September
Tick to select
Wednesday 1st October
Tick to select
Thursday 2nd October
Tick to select
Player Details
First Name
*
Surname
*
Date of Birth
*
2025 Age Group
*
Please select
U7 - U8 (Born 2017 & 2016)
U9 - U10 (Born 2015 & 2014)
U11 - U12 (Born 2013 & 2012)
U13 - U14 (Born 2011 & 2010)
U15 - U16 (Born 2009 & 2008)
U17 - U18 (Born 2007 & 2006)
Gender
*
Please select
Male
Female
Club 2025
*
Main Squad 2025
*
Competition 2025
*
Please select
Kangaroos / A
Wallabies / B
Joeys / C
Other
Parents Contact Details (Emergency Contact)
Title
*
Please select
Mr
Mrs
Miss
Ms
Dr
Prof
Master
First Name
*
Surname
*
Postal Address
Street Address (Line 1)
*
Street Address (Line 2)
Suburb
*
State
*
Postcode
*
Mobile Phone
*
Email
*
Name on Credit Card for this Registration
*
Refund Policy
Player Registration Fee is non refundable. Please tick the box to confirm you accept these conditions.
*
Yes, I accept these Terms and Conditions
Terms and Conditions
I agree to the Terms and Conditions that are stated on the Terms and Conditionsweb page of Villarreal Melbourne C.F. website
*
Yes, I agree to these Terms and Conditions
Player / Parent Code of Behaviour
I agree to abide by the Villarreal Melbourne F.C. Player and Parents Code of Behaviour stated on the Player Code of Behaviour and Parent Code of Behaviour web pages of Villarreal Melbourne C.F. website.
*
Yes, I agree to these Terms and Conditions
