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? *

Yes No
$ 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 *

Mother Father Legal Guardian

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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? *

Email Local Club Word of Mouth Google Search Facebook Twitter Instagram
Gift Certificate
Is this a gift? Would you like a complimentary gift certificate emailed to you?

Yes No
Recipient's name *

First Name Last 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

Day Month Year

= $ TOTAL PAYMENT DUE *

AUD KD Female Academy Aug 2019

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Female Academy Sessions - August/September 2019

REGISTRATION FORM