Registration Form.

Term 3

Elite Level Program

Bathurst - Monday - 6.15pm - 7.30pm

Cost = $420.00 - New player (include training kit)

= $380.00 - Returning players

Development Level Program

Cost = $300.00 - New player (include training kit)

= $250.00 - Returning players

Orange - Tuesday - 6.45pm - 7.45pm

Bathurst - Wednesday - 6.15pm - 7.15pm

Blayney - Thursday - 4.30pm - 5.30pm

Select Session

Player Information

First Name

Last Name

Age

Current Club

Emergency Contact

(###)

###

####

Parent's Name

First Name

Last Name

Email

Booking confirmation & location for invoice to be sent.

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Booking includes complimentary training kit

Please submit your sizes below. Kit will be available from the 2nd or 3rd session

Shirt Size

Shorts Size

Sock Size

Payment terms:

A 10% deposit of the total cost is required before the first session, and the rest is due before the next session.

You can book until midterm, and the remaining sessions will be charged at a prorated rate.

An invoice will be sent to confirm your booking after you submit it.

Booking Received – Pending Confirmation