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Home
/
2016 Elite Senior Camp – Expression of Interest
/
2016 Elite Senior Camp – Expression of Interest
2015 Elite Summer Training Program 'Youth & Junior' Girls
Please fill in the player registration form for the 2015 Elite Summer Training Program.
Name
*
First
Last
Your unique registration code
*
Unique registration code will be found in your letter of invitation. If you do not have your Unique registration code please contact us enquiries@dynamicfootyskills.com.au 0404 995 096
Address
*
Street Address
City
ZIP / Postal Code
Date of Birth
*
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Player's Gender
Male
Female
Name of Parent / Guardian
*
Phone number of Parent / Guardian
*
Email Address of Parent / Guardian
*
Email Address of Player
League
*
NFL
YJFL
EDFL
RDFL
EFL
WRFL
SEJ
FDJFL
MPJFL
SMJFL
Other
Please specify other
*
2015 Local Club & Age Group
*
Name of your 2015 Head Coach
*
First
Last
Head Coach email address
*
Any medical conditions / allergies
*
Preferred STP location
*
Bulleen (Monday)
Baxter (Wednesday) Expression of Interest
BULLEEN: Youth & Junior Girls will train on Monday night at Bulleen Park, 6.15pm-7.45pm. BAXTER : Will only go ahead if we have enough interest.
Training Jumper Size
Size 8
Size 10
Size 12
Size 14
Size 16
Size 18 (Men's Medium)
Size 20 (Men's Large)
How did you find out about the STP ?
*
Received a letter in the post
Received an email
Through a friend
My local club
Coach of my local team
Internet search
Other
Please specify other
*
--- PROGRAM OPTIONS AND FEES ---
I would like to book the Elite Summer Training Program
*
Elite STP ($295)
Would you like the Video Kicking Analysis ?
*
No thanks
Yes please ($50)
Full details for the Video Kicking Analysis can be found on the 'MyDFS' page.
Would you like the individual Strength & Conditioning Xmas training program ?
*
No thanks
Yes please ($50)
Full details for the Strength & Condtioning programs can be found on the 'MyDFS' page.
I have read and understand the information outlined below
*
YES
1) If my child has a medical condition I acknowledge that I or a nominated person is required to stay with my child for the duration of each session and if required, will administer any first aid. I hereby release Dynamic Footy Skills from any liability for injury incurred by my child at the Session 2) No refunds will be issued for non-attendance 3) We try to accommodate group requests but give no guarantee 4) I give permission for my child to be photographed and/or videoed whilst participating in this program and understand that images may be used for future program marketing material.MOUTHGUARDSAustralian Rules Football is a contact sport, and while training, players may make body contact with other players, footballs, objects and the ground, which may cause injury. Dynamic Footy Skills STRONGLY recommends that every player wears a mouth guard to help minimize possible injury.
Total
$ 0.00