Complete the form below to sign up for the Football Program

I warrant that above information is true and correct. I warrant that the applicant player (and where the applicant player is under 18 years, the applicant player’s parents/guardian/s) has read and agrees to abide by and be governed by the 1st Eleven Academy Rules and hereby releases and indemnifies its officers, members and servants against any claim and compensation for any loss or injury sustained during any activity at the 1st Eleven Academy and I acknowledge and agree that any claim for loss or injury will be a matter determined between the player applicant and the relevant insurance company. I warrant that the applicant player (and where the applicant player is aged under 18 years, the applicant player’s parent/s or legal guardian/s) has read and understood the level of participant insurance cover offered through FNSW and/or Other relevant insurance policy and, if they believe this cover is inadequate for their particular circumstances, that they acknowledge and agree to organize any additional insurances themselves. I acknowledge that the 1st Eleven Academy Insurance may come under the Insurance for the St George Football Association or relevant Insurance Company. I warrant that the applicant player grants the 1st Eleven Academy, its officers, members and servants the right to obtain medical care for the applicant player from any qualified person should the need arise in a case when the applicant player’s legal guardians are not immediately available to grant authorization. I warrant that the applicant player agrees to pay all medical expenses involved in such a case. I warrant that the applicant player acknowledges and agrees that cancellation of the applicant player’s application or subsequent registration may, in the 1st Eleven Academy’s absolute discretion, result in the forfeiture of the applicant player’s entire registration fee. I warrant that the applicant player agrees to 1st Eleven Academy using the applicant player’s name and image in the promotion and marketing of the 1st Eleven Academy, its events and competitions and the commercial relationships that may be entered into in connection with such events and competitions. The applicant player warrants that he is hereby warned of the risk of injury posed by the fixtures and apparatus located on and around the 1st Eleven Academy playing field including the goal posts, netting, steel posts and boarding. Transmission of this application form via email confirms your electronic signature and agreement.