KD - Female Academy Sessions - Aug/Sep 2019

Female Academy Sessions - August/September 2019

REGISTRATION FORM
Earlybird $109 (+BF)

(book & pay before 20th August 2018)
Final Release $129 (+BF)

(book & pay after 21st August 2018)
Session details
Which group would you like to register for?*

Sydney East @ Centennial Park (Wed 28th Aug & Wed 4th Sep - 4:00-5:30pm)Sydney North @ Millers Reserve, Manly Vale (Wed 28th Aug & Wed 4th Sep - 4:00-5:30pm)
Would you like to register for a private 1-on-1 assessment with video footage?
Includes:
- 15min 1-on-1 private kicking session with instant feedback
- Video footage of the participants kicking*
- Feedback with direct mark-ups on still video footage, so you can see exactly what areas need improvement and why*
- Comprehensive written report with advice on techniques to improve the participants kicking*
*Video footage and written report will be electronically sent to you

MASTERCLASS ONLY SPECIAL PRICE of $99 +BF (RRP $180)
Would you like to register for the Private 1-on-1 Assessment?*

YesNo
$ Private 1-on-1 cost
Participant Details
How many participants would you like to register?*
Participant 1
First Name (1)*
Last Name (1)*
Age (1)*
Participant 2
First Name (2)*
Last Name (2)*
Age (2)*
Participant 3
First Name (3)*
Last Name (3)*
Age (3)*
Participant 4
First Name (4)*
Last Name (4)*
Age (4)*
Participant 5
First Name (5)*
Last Name (5)*
Age (5)*
Participant 6
First Name (6)*
Last Name (6)*
Age (6)*
Participant 7
First Name (7)*
Last Name (7)*
Age (7)*
Participant 8
First Name (8)*
Last Name (8)*
Age (8)*
Participant 9
First Name (9)*
Last Name (9)*
Age (9)*
Participant 10
Last Name (10)*
Last Name (10)*
Age (10)*
Participant 11
Last Name (11)*
Last Name (11)*
Age (11)*
Parent/Guardian Details
First Name*
Last Name*
Mobile Number*
Email*

Confirmation Email
Relationship to Participant/s*

MotherFatherLegal GuardianOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I confirm I have permission to register the participant/s on behalf of their parent/s or legal guardians - as per our terms and conditions.*

I AGREE
What AFL Football Club does the participant/s play for?*
How did you hear about us?*

EmailLocal ClubWord of MouthGoogle SearchFacebookTwitterInstagramOther
Gift Certificate
Is this a gift? Would you like a complimentary gift certificate emailed to you?

YesNo
Recipient's name*

First NameLast Name
Message*
From*
Gift Certificate No.
Payment
Masterclass Cost
+ Private 1-on-1 Cost
= SUBTOTAL
Booking Fee (2.5%)
$ Payment Amount (including any discount)
Payment Received

DayMonthYear

= $ TOTAL PAYMENT DUE*

AUDKD Female Academy Aug 2019

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Female Academy Sessions - August/September 2019

REGISTRATION FORM