Enrolment Form St George City Football Academy PLAYER FIRST NAME PLAYER SURNAME PLAYER EMAIL DATE OF BIRTH PARENT FIRST NAME PARENT SURNAME PARENT EMAIL PARENT MOBILE NUMBER CURRENT SOCCER CLUB SCHOOL ATTENDING PLAYER AGE GROUP Academy Foundation ages 6-8 Academy Development ages 9-12 Academy Performance ages 13-16 Academy Masterclass ages 17+ Academy Masterclass Pro ages 17+ Academy Small Group Training all ages School Holiday Program COST -(Note all price are Ex GST) $350 Per Term - 10 Sessions (1 session per week) $600 Per Term - 20 Sessions (2 sessions per week) PREFERRED DAYS Monday Penshurst Park - 4:15pm & 5.15pm Tuesday Todd Park, Blakehurst - 4.15pm Wednesday Penshurst Park - 4:15pm Thursday Penshurst Park - 4.15pm Friday Todd Park - 4.15pm Sunday Todd Park - 4.15pm GENERAL PERMISSION TO DISCLOSE AND/OR PUBLISH INFORMATION I give permission I DO NOT give permission ANY MEDICAL CONDITIONS BANKING DETAILS FOR PAYMENTACCOUNT NUMBER- St George FootballBSB-062 189ACCOUNT NUMBER-1053 9613PLEASE USE REFERENCE- SURNAME AND ACADEMY SUBMIT
