EmailMe Form - CFS Bellambi Clinic- JULY Holidays 2019

CFS Bellambi Clinic- JULY Holidays 2019

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

Tuesday 16th- Thursday 18th July (3 days)

Holy Spirit College, Bellambi

9.00am - 11.30am

Cost:- $130 Registration Fee

**Players that do not have CFS uniforms are required to purchase. This is a one-off purchase and can be worn at all future CFS Clinics and Academies. Details below.

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 full uniform 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 Kit required
Full Kit required with Tru-Sox ($70)
Full kit required with Standard socks ($60)
CFS Shorts and Tru-Sox only ($40)
CFS Shorts and Standard Socks ($30)
CFS Shorts only ($20)
Tru-Soxs ONLY ($20)
Standard Socks only ($10)
Already have full kit
Tru-Sox
Silicone enhanced grip RRP $69 -
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
Email *
Parent / Guardian Phone (mobile) *
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
Purchase CFS CAP or Drink Bottle *
Web Site
Contact us
Dean Merola; chippersfinishingschool@gmail.com 0404487226

Guardian Information