DFS Program Refund Page

2020 Elite Summer Training Program Payment Plan Form

STP Location wishing to attend?*
Parent Name*
Parent Surname*
Parent Mobile*
Parent Email*
Home Address*
How did you hear about the program?*
Player Name*
Player Surname*
Player DOB*
Medical Conditions?*
Player Local Club*
Player Local Club Coach*
Player Local Club Coach Email*
In regards to the payment plan dates and $ amounts...*
Would you like Video Kicking Analysis or Xmas Training Program (If yes to either or both please add this to your final payment amount)*
Payment Plan Date 1 and $ amount?*
Payment Plan Date 2 and $ amount?*
Payment Plan Date 3 and $ amount?*
Payment Plan Date 4 and $ amount? (If 3 payments please don't fill this out)
Payment Plan Date 5 and $ amount? (If 3 or 4 payments please don't fill this out)
The total amount ($) is how much*
Name on Card*
Card Number*
Card Expiry*
Card CVV*

Dynamic Footy Skills

Develop Skills.
Improve Confidence.
Increase Enjoyment.

E | info@dynamicfootyskills.com.au
M | 0404 995 096

© 2024 Dynamic Footy Skills

DFS Policies & Procedures

Dynamic Footy Skills

DFS Policies & Procedures

Develop Skills. Improve Confidence. Increase Enjoyment.

E | info@dynamicfootyskills.com.au M | 0404 995 096

© 2024 Dynamic Footy Skills