EmailMeForm
CHIPPERS FINISHING SCHOOL ACADEMY, Term 1 - 2019
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Age Group - 8-17 Years of Age (Boys and Girls)
Goalkeepers and Outfield Players
Holy Spirit College, Bellambi
Monday's - 4.30-5.45pm
10 week program including spare week (catch up week)
Payment can be made at time of registration instantly via PAYPAL or EFT to the following Acct. (Costings below)
Bank details included in confirmation email.
Acct. Name: Chippers Finishing
Bsb: 012593
Acc. no: 232110647
Reference: players surname
Player's Name
*
First
Last
Date of birth
*
DD
/
MM
/
YYYY
Age group
*
Please select
8-9 years old
10-11 years old
12-13 years old
14-16 years old
Please tick box appropriate to your child.
Is Player new to CFS?
*
Yes
No
All new CFS players must attend all sessions in full training kit.
Academy Training Day Options (Times included)
*
Monday's ($180)
8-11 Years (4.15pm-5.30pm)
12-17 Years (5.30pm-6.45pm)
CFS Kit required
*
Yes ($60)
No ( $0)
One off purchase until player grows out of training kit.
Clothing size (if required)
Please select
Already Have Kit
8
10
12
14
16
S Mens
M Mens
L-Mens
Guardian Information
Please enter parent or legal guardian information here
Guardian Name
*
Parent / Guardian Phone (mobile)
*
Email
*
Confirm
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Position
*
Outfield
Goalkeeper
Current Team
*
Representative
Other (name of club)
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
Optional CFS purchases
*
Drink bottle ($10)
CFS Cap ($15)
Cap and drink bottle ($25)
White socks (spare) ($10)
No thanks
In the unlikely event of an accident I will accept the decision of the appointed coaching staff in relation to any urgent or immediate treatment required. Please tick box to confirm.
*
Confirm
I confirm that the Player is physically fit and able to take part in the CFS program and apart from any injury, medical condition and illness disclosed above below I am not aware of any physical injury, medical condition, illness or other similar impairment to the Player's ability to perform the required activities.
*
Confirm
I understand that a grading process will take place and accept the Coach's decision is final as a rule.
I understand that I am registering the Player for a spot at the Academy and that he/she may be separated from friends and teammates depending on the grading.
Coaches will decide which group is most suitable for the player in question.
*
Confirm
DECLARATION -
I have read and understood the contents of this form and I warrant that all information provided by me is true and correct.
I confirm that I understand that while every due care and diligence will be extended to the Player during their participation in the Chippers Finishing School Football Academy and while in the care of appointed coaches, there is a risk of physical injury.
As the parent and/or guardian of the Player I voluntarily accept the risk associated with the Player's participation in the Academy.
I agree to release, defend, hold harmless and indemnify CFS Academy and their employees and agents from and against any actions, claims, demands, expenses and liabilities howsoever arising from injury, loss or damage arising from my son/daughter's participation in the program.
I understand that if the player misses a session through illness or injury, CFS will grant them a maximum of (one) catch-up session per term. This must be applied for via the coaches in advance. All other absences will not be credited unless approved in advance by CFS staff. This is to maintain our squad numbers and consistency. In case of wet weather, alternate arrangements for training will be made.
I understand that CFS have a strict uniform and attendance policy. Please ensure the player is always wearing correct uniform and while hats are optional apparel, if worn, they must be CFS branded. If the player is going to miss a session, please advise admin staff as soon as possible. Please ensure the player arrives on time to their sessions.
Please click to confirm below.
Confirm
Thank You
We look forward to seeing you in February! Remember - Goals Win Games!
Total
$180.00