2016 Elite PTP & EJC

2017 MasterClass Series registration form

• Player Name*
  First Last
• Which MasterClass location will you attend ?*
  Bentleigh East: 2007, 2006, 2005; 9:00am - 11:30am, 12th August
• Name of the person who nominated you. (Team Coach or Club President)*
  Only players who have been nominated by their Club (Team Coach or Club President) are eligible. If you have not been nominated, please contact us at: development@dynamicfootyskills.com.au or Beau 0424 902 544
  First Last
• Club position of the person who nominated you
  • Team Coach
  • Club President
  • Other
  Only players who have been nominated by their Team Coach or Club President are eligible. If you have not been nominated, please contact us at: development@dynamicfootyskills.com.au or Beau 0424 902 544
• Please provide details of the 'other' person who nominated you
• Would you like to complete the AFL tests ?*
  The tests will include : 20 metre sprint, Standing vertical leap, running vertical leap, height & weight. Testing will be held directly after the MCS session. Only $20 per player. Payable cash on the day.
  Yes PleaseNo Thanks

• Player Details

• Parent / Guardian Name*
  First Last
• Phone Number of Parent / Guardian*
• Email Address of Parent / Guardian*
• Address*
  Street Address City ZIP / Postal Code
• 2017 Junior Club*
• Age Group*
  U10U11U12U13U14U15
• Date of Birth*
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  MM123456789101112

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• Player's Gender*
  • Male
  • Female
• Any medical conditions / allergies*

• Club Details

• Name of your Team Coach*
  First Last
• Email Address of your coach
• Phone Number of your Team Coach*
• Name of your Club President*
  First Last
• Email Address of your Club President
• Phone Number of your Club President
• 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. MOUTHGUARDS Australian 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.