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Wollongong CUBS Clinic, July 2019
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Holy Spirit College, Bellambi
Age Group -5-7 Years of Age (Boys and Girls)
Tuesday 15th- Thursday 17th April (3 days)
Time - 9.30am - 11.30am
Please note: Cost $105 inclusive of registration fees and training shirt.
$90 (for returning players that have CFS training shirt).
Payment can be made at time of registration instantly via PAYPAL or EFT to the following Acct.
Please save details below or re-visit registration page for bank details;
Acct. Name: Chippers Finishing
Bsb: 012593
Acc. no: 232110647
Reference: players surname
Invoice will be emailed following receipt of payment via PAYPAL or EFT.
All players are expected to wear training shirt for the duration of the clinic. (Receive on Day 1)
Please wear black shorts and white football socks.
**White socks can be purchased for $10
Player's Name
*
First
Last
Date of birth
*
DD
/
MM
/
YYYY
Age group
*
Please select
5 years old
6 years old
7 years old
Please tick box appropriate to your child.
Current Team
Representative
Other
Name of Club
CFS Shirt and Drink Bottle required
Yes ($105)
No ($90) Already have
Clothing size
*
Please select
Already Have Kit
4
6
8
10
12
Medical Declaration
Do you suffer from a medical condition that will affect your participation?
*
Please select
Yes
No
If yes please answer the following;
Medical condition; eg...Asthma, Injury, Epilepsy
Photo and Video Declaration
*
Yes
No
Players may have photos and video's published on website/media or used in future promotions
Guardian Information
Please enter parent or legal guardian information here
Name
*
First
Last
Parent / Guardian Phone (mobile)
*
Email
*
Address
*
Street Address
City
State / Province / Region
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Country / Region
Where did you hear about us?
Facebook
Email
Word of mouth
Parents Guide Illawarra
Attended previous clinic
Other Social media
Contact us
Dean Merola; chippersfinishingschool@gmail.com 0404487226
Web Site
Want to purchase White Football Socks
*
Yes ($10)
No ($0)
Section Break
A description of the section goes here.
Total
$105.00