SCHOOL FOOTBALL PROGRAM
CARWATHA COLLEGE P - 12
Student Name
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Mr/Miss
First Name
Last Name
Current School
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Date of Birth
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Day
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Month
Year
Date Picker Icon
Current Year level
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What year would you like to enroll into the program ?
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2025
2026
2027
2028
2029
What program would you like to enrol into
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Minipups Program (Prep - Year 2)
Junior Program (Year 3 - Year 6)
Theory and Practical Class (Year 7 & 8)
Youth Program (Year 9)
Certificate III Sport and Recreation (Year 10 - 12)
Girls Only Program (Year 3-6)
Student Phone Number (if applicable)
Parents Name
First Name
Last Name
Parents Phone Number
E-mail
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Football (Soccer) Club you are playing for (if applicable)
Years playing at club level (if applicable)
MEDICAL INFORMATION
Please provide any current or previous medical conditions we should be aware of so we can support your child.
Emergency Contact Person
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Emergency Contact Number
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Any Medical Conditions?
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YES
NO
If answered YES please identify medical condition
Medication Taken for condition
Illness History
Restrictions due to condition
Recommended first aid response if symptoms occur
Any addition Information
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Where the staff member in charge is unable to contact me, or where it is impracticable to contact me, I authorise the staff member in charge to 1) consent to any medical or surgical attention deemed necessary by a medical practitioner, and 2) administer such first aid as the staff member in charge judges to be reasonably necessary. I agree to meet any medical expenses and/or transport costs incurred in the event of sickness or injury
PHOTOGRAPHIC/VIDEO CONSENT & RELEASE
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I do hereby consent and agree that Carwatha College P-12 and the partner Football Company 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 here after 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 Carwatha College P-12 and the partner Football Company 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
SPORTS RISK WAIVER
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I acknowledge that there are inherent risks involved in my child participating in the School Football program. I discharge 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 program. I agree that I will not sue 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 school program. 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.
FOOTBALL ACADEMY BEHAVIOUR CONTRACT
All participants MUST read and agree to the attached Carwatha College P-12 behaviour to be part of the Football academy program
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As a participant in the Carwatha College Football Academy program, I and my family/ guardian understand the standards set out in this contract and agree to do my upmost in meeting or exceeding them.I understand that if I do not meet these expectations, I will be required to meet with the Sports Academy review panel to review my participation. My parents will be expected to be part of this review.
How did you find out about our program?
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Facebook
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FTA Academy
Carwatha College P -12
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