Females In Football

Academy registration form

 Players Registration Form

2012.Term 4

 

 

First Name: …………………………………..  Surname ………………………………………….

 

Home Phone: ……………………… ………… ….. D.O.B: ……………………….

 

Address: ………………………………………………………………………….…………………................

 

…………………………………………………….. ………………………………………………..

 

 

Parents/Caregiver Name  ………………. ……..        Mobile: ………………………..

 

E-mail: …………………….............................

 

Did you play for the Girls Academy last year: Yes / No

 

List any Medical Conditions that the Coach needs to know about. Eg Asthma, Epilepsy

……………………………………………………………………………………………………….

 

What Grade is this rego for :  7th, 8th, 9th, 10th, 11th, 12th, 13th, 14th,15,16,

 

 

SUBSCRIPTIONS:

 

All Grades   $50

All sub payments can be made by Internet, Cash or Cheque.

 account no: 010731 0212875 00   Please use players firs and last name as reference

Date of training starts are Tuesday 16 October 6-7pmThursday 18 October 6-7pm at the Paraparaumu domain

Sunday 21 October at Mathews Park 9-10.30