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2019 AFLC Cobras Summer Skills Progam
Complete this form to register for the 2019 AFL Capricornia Cobras Summer skills program .
The levy for this year is $60 if you attend the Development Camp on the 22nd - 24th of November or $80 if you attend the summer skills program only. Payment of the levy is due at your first training session.
• Wednesday 6th November, 5pm Summer Skills program first session (Rockhampton & Yeppoon players)
• Monday 18th November, 5pm Summer Skills program first session (Port Curtis players)
As part of the levy participants will receive 6 summer development sessions, a training cap and water bottle .
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Country / Region
Date of Birth
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Player Contact Number
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Email
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Emergencey Contact
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First
Last
Mobile
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Medicare Number
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I will be attending
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$60 Summer skills and Development Camp
$80 Summer Skills only
Indemnity Details
I AGREE to indemnify AFL Queensland and its servants or agents against any claims made or actions brought for damages arising from personal injury sustained by the participant named in the First Schedule during the period in which such participant named in the First Schedule is playing, travelling or participating as a member of the camp named in the Second Schedule.
The Indemnity extends to both general and special damages including but not limited to damages for pain and suffering, past and future economics loss, damages for gratuitous assistance provided by a career, and medical, hospital and rehabilitation expenses.
The Indemnity further extends to a claim or action for damages brought by the participant named in the First Schedule arising from the negligence, breach of contract, and/or breach or statutory duty the AFL Queensland and its servants or agents.
DETAILS OF PROGRAM: 2019 Capricornia SUNS Development training
I have read the foregoing authority and I fully and completely understand its contents and ramifications.
*
Agree to Indemnity details
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