FDA Football Camp (3days): April 16-18 2018 - BYO Kit
From 16 Apr to 18 Apr 2018

PLEASE NOTE: The name of the person who will be paying using their credit card should be placed in the Firstname and Lastname fields below.

To secure your booking, please complete the form below. Enter the names of one or more attending children using the fields under the heading "Participants".

 

 

Step 1: Booking Details

Firstname:
Surname:
Email:
Street Address:
City/Suburb:
State:
Postcode:
Country:
Phone - Home:
Phone - Mobile:
Emergency Contact:
Emergency Contact Mobile:
Where did you hear about us?

Participant Details

  Name Date of Birth Height (cms) Gender
Participant 1
Participant 2
Participant 3

Medical Details

  Any Medications
taking
Any allergies
or medical conditions
Any Past
Injuries
Participant 1
Participant 2
Participant 3
 

Permission to participate

I give permission for my child to take part in the Football Development Australia’s Football Camp and declare that to the best of my knowledge all information provided on this form is correct. I acknowledge that my child is taking part in the FDA Football Camp at his/her own risk and FDA will not be held liable for any injury or loss sustained during the camp or at the camp venue.

Permission to photograph

FDA may give permission to print or broadcast media to produce coverage of the FDA Football Camps. FDA may also use photographs for general marketing, PR and promotional purposes. By signing this form, the parent/guardian of the player gives permission for the player to be photographed and the images to be used by FDA in general marketing materials or to be used by media. All photographic materials will be used in accordance with The Privacy Act (1988).

I have read and understood the Terms and Conditions.