2014 MEJFC Easter footy program - Dynamic Footy Skills

WAITING LIST Junior Skills Master Class - 19th July

Player registration form below

Name*
First Last
Name & Club position of the person who nominated you for the Master Class program?*

Only players who have been nominated by their Club (Coach, President) are eligible. If you have not been nominated, please contact us at: enquiries@dynamicfootyskills.com.au or Simon: 0404 995 096
Address*
Street Address City ZIP / Postal Code
2014 Junior Club*

If a spot becomes available you will be notified.
Age Group*
Date of Birth*
Player's Gender
- Male
- Female
Name of Parent / Guardian*
Phone Number of Parent / Guardian*
Email Address of Parent / Guardian*
Email Address (Player)
Would you like the 'Video Kicking Analysis' ?*
Dual angle (front and side) footage of your kicking action. Edited, analysed (approx 3 mins voice over) and emailed directly to you. Only $25 per analysis.
Any medical conditions / allergies*
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.