EmailMe Form - CFS Shellharbour- July Holidays 2019

CFS Shellharbour- July Holidays 2019

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Age Group - 5-16 Years of Age (Boys and Girls)

Monday 8th- Tuyesday 9th July (2 days)

Myimbarr Fields, Shellharbour

9.00am - 11.30pm

Cost:-

$90 to register

All players must wear CFS training kit. This is a one-off purchase and can be worn at all future clinics and Academies.

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 kit for the duration of the clinic. (Receive on Day 1)

Player's Name *
First Last
FFA Number
not compulsory
Date of birth *
DD / MM / YYYY
Age group *
Please tick box appropriate to your child.
Current Team
Representative
Other
Name of Club
Position *
Defence
Attack
Midfield
Goalkeeper
CFS training full- kit required *
Yes full-kit (Shirt Shorts and Tru-Socks ($70)
Yes Full-Kit (Shirt, Shorts and Standard Socks) ($60)
Shorts and Tru-Socks ($40)
Shorts and Standards Socks ($30)
Shorts only ($20)
True-Socks ONLY ($20)
Shirt only ($30)
Standard Football socks ONLY ($10)
Already have these
(Tru-Sox) Anti-slip silicone enhanced RRP $69
Image
Clothing size *
Medical Declaration

Do you suffer from a medical condition that will affect your participation? *
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 Postal / Zip Code 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
Optional CFS Branded merchandise *

Guardian Information