Advanced Training Program Enrolment - Campbelltown City Soccer Club

Advanced Training Program Enrolment form

"*" indicates required fields

Player Details

First Name*

Surname*

Date of Birth*

Current Club

Program Details

Academy Programs 2024 - Term 3*

Please select

U11-U12 - Mon Nights 19th Oct - 7th Dec 5.00pm-6.00pm

Parent/Guardian Details

First Name*

Surname*

Contact Number*

Email*

Further Player Details

Confidential Medical Information*

Medical Assistance*

In the unlikely event of an emergency I authorise the staff of Campbelltown City Soccer Club to seek and/or perform appropriate medical attention.

Media Release*

I give permission for the player's name which appears on this registration form to be photographed and/or filmed while enrolled in soccer programs with Campbelltown City Soccer Club. I understand that when such photos or videos are posted on the website or used for marketing purposes they will be used in accordance with the Privacy Act (1988).

Terms & Conditions*

I agree to the Academy terms & conditions.

Click to view Academy Terms & Conditions.

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