2015 Elite Camp Program

2015 Elite Summer Training Program 'Footy Scholarship' registration

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*
  DD12345678910111213141516171819202122232425262728293031

  MM123456789101112

  YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
• Player's Gender
  • Male
  • Female
• Name of Parent / Guardian*
• Phone number of Parent / Guardian*
• Email Address of Parent / Guardian*
• Email Address of Player
• League*
  NFLYJFLEDFLRDFLEFLWRFLSEJFDJFLMPJFLSMJFLOther
• Please specify other*
• 2015 Local Club & Age Group*
• Name of your 2015 Head Coach*
  First Last
• Email Address of your 2015 Head Coach*
• Any medical conditions / allergies*
• Preferred STP location*
  Bulleen (Monday)Bundoora (Tuesday)Burwood (Tuesday)Baxter (Wednesday)Ascot Vale (Thursday)
  Full STP details (time/day/venue) will be confirmed prior to the Induction evening, held on the 19th October.
• Training Jumper Size
  Size 8Size 10Size 12Size 14Size 16Size 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 ---

• What type of Footy Scholarship do you have ?*
  I am the player who holds the DFS Footy ScholarshipI am a FRIEND of the player who holds the DFS Footy Scholarship
• What is your friends name?*
• Would you like the Video Kicking Analysis ?*
  No thanksYes 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 thanksYes 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