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) *

Age (10) *

Participant 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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