Elite Player Reunion – July

2016 September Elite Junior Camp

Please fill in the player registration form. Once submitted we will contact you directly to confirm if you have secured a spot in the program.

• Name*
  First Last
• Address*
  Street Address City ZIP / Postal Code
• Date of Birth*
  DD12345678910111213141516171819202122232425262728293031

  MM123456789101112

  YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
• 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*
• 2016 Local JFC*
• Name of your 2016 Head Coach*
  First Last
• Head Coach email address*
• Phone number of you Head Coach*
• Any medical conditions / allergies*
• How did you find out about the Elite Junior Camp ?*
  • Via Elite STP information
  • Via an email
  • Via a friend
  • Via my local club
  • Via my Coach
  • Via Facebook/Twitter/Instagram
  • Other
• Please specify other*

• --- PROGRAM OPTIONS AND FEES ---

• Program booking options*
  Elite Junior Camp
• Would you like the Video Kicking Analysis ?*
  No thanksYes please ($50)
  Cost $50. Filmed during the Academy training sessions.
• 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