FOOTBALL TECHNIQUE AUSTRALIA
Registration Form - Holiday Camp
CLUB YOU ARE PLAYING FOR
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Any Medical Conditions?
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If answered yes please identify medical condition
Emergency Contact Person
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PROGRAM OPTION & COST
Please select your camp & number of days you will be participating for.
Choose you training development camp
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Holiday Camp 1 - Carwatha College P-12 - 5th - 7th of April 2018
Holiday Camp 2 - St Albans Saints -10th, 11th & 13th of April 2018
Holiday Camp 2 & 3
Program Cost
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OPTION A - $220 - 3 DAY CAMP - 9am - 12:00pm
OPTION B - $400 - 3 DAY CAMP - 9am - 3:00pm
OPTION C - $180 - 2 DAY CAMP - 9am - 12:00pm
OPTION D - $300 - 2 DAY CAMP - 9am - 3:00pm
OPTION E - $650 - 6 DAY CAMP - 9am - 3:00pm
Do you require an FTA kit - top, shorts, socks
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Yes = Additional $75
No
TERMS & CONDITIONS
Training Camp must be paid in full before training commences. If participant cannot attend pre-paid training Camp for whatever reason, money can NOT be reimbursed. The only time that a session will be cancelled is when there is lightning, due to ground unavailability or specific Football Technique Australia requirements and a make up day will be made.
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I agree with the above terms and conditions
SPORTS RISK WAIVER
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I acknowledge that there are inherent risks involved in my child participating in the Football Technique Australia. I discharge Football Technique Australia (including all directors, employees, coaches and guest coaches/ players) from any and all liability for injury, loss or damage caused arising out of my participation in the Football Technique Australia. I agree that I will not sue Football Technique Australia (including all directors, employees, coaches & guest coaches/ players) in the future, for any kind of injury, damage or loss that occurs while participating in Football Technique Australia. I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.
PHOTOGRAPHIC/VIDEO CONSENT & RELEASE FORM
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I do hereby consent and agree that Football Technique Australia has the right to take or use photographs or video recording of me and to use these in any and all media including online, now or hereafter known, and for any purpose whatsoever. I further consent that my name and identity may be revealed there in or by descriptive text or commentary. I do hereby release to Football Technique Australia all rights to exhibit this in print and electronic form publicly or privately and to market and sell copies. Any rights, claims or interest I may have to control the use of my identity or likeness in the photographs and agree that any uses described herein may be made without compensation or additional consideration of me. I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.
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