GAMEREADY Multi Day Football Clinic - West Beach Parks Football Centre
Registration form
Personal Information
Person Responsible for child
Name
*
First Name
Last Name
Email
*
example@example.com
Age Group
*
9-11 Year Old
12-14 Year Old
Please select day:
Wednesday 7th - Friday 9th October (9:30am - 2:00pm)
Player details
*
Puma Size Guide
Please select shirt size (based on sizing chart above)
*
152
164
XS
S
M
Has any player been identified as living with a disability?
*
Yes
No
Please specify
*
RAA Member Number (if applicable)
Where did you hear about the program?
*
Please Select
Social media
Email
Word of mouth
Radio
Tv adverts
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School Holiday Training Clinic
Please buy a ticket for each registered player
$220.00 AUD
$
220.00
AUD
Quantity
1
2
3
4
Item subtotal:
$0.00 AUD
$
0.00
AUD
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit registration
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