2024 TERM-1 TECNICO FRIDAYS

Hidden

Program

Number of Children*

Player’s Club and/or Academy*

First Child's Details

Player's Name*

First Name Last Name

Player's Date Of Birth (dd/mm/yyyy)*

Player's Age*

Please enter a number from 1 to 18.

Player's Medical Advice (Allergies, Medical History, Injuries etc)?*

Player's Gender*

Postcode*

Active Kids Voucher Number

IMPORTANT: Once you submit the voucher number with the matching birth date the voucher will automatically be redeemed and a discount applied to this purchase form. Only valid and unclaimed Active Kids Vouchers can be redeemed. Please do not enter or claim a voucher that has already been claimed. Fees will be applied to any dishonoured claims.

Balance: $0

Redeem Voucher for Active Kids?

Yes

Second Child's Details

Player's Name*

First Name Last Name

Player's Date Of Birth (dd/mm/yyyy)*

Player's Age*

Please enter a number from 1 to 18.

Player's Medical Advice (Allergies, Medical History, Injuries etc)?*

Player's Gender*

Postcode*

Active Kids Voucher Number

Only valid and unclaimed Active Kids Vouchers can be redeemed. Please do not enter or claim a voucher that has already been claimed. Fees will be applied to any dishonoured claims.

Balance: $0

Redeem Voucher for Active Kids?

Yes

Third Child's Details

Player's Name*

First Name Last Name

Player's Date Of Birth (dd/mm/yyyy)*

Player's Age*

Please enter a number from 1 to 18.

Player's Medical Advice (Allergies, Medical History, Injuries etc)?*

Player's Gender*

Postcode*

Active Kids Voucher Number

Only valid and unclaimed Active Kids Vouchers can be redeemed. Please do not enter or claim a voucher that has already been claimed. Fees will be applied to any dishonoured claims.

Balance: $0

Redeem Voucher for Active Kids?

Yes

Fourth Child's Details

Player's Name*

First Name Last Name

Player's Date Of Birth (dd/mm/yyyy)*

Player's Age*

Please enter a number from 1 to 18.

Player's Medical Advice (Allergies, Medical History, Injuries etc)?*

Player's Gender*

Postcode*

Active Kids Voucher Number

Only valid and unclaimed Active Kids Vouchers can be redeemed. Please do not enter or claim a voucher that has already been claimed. Fees will be applied to any dishonoured claims.

Balance: $0

Redeem Voucher for Active Kids?

Yes

Parent's Details

Parent/Carer Name (1)*

First Name Last Name

Parent/Carer Email (1)*

Parent/Carer Mobile (1)*

Do you want to provide alternative parent details?*

Yes

Parent/Carer Name (2)

First Name Last Name

Parent/Carer Email (2)

Parent/Carer Mobile (2)

Checkout

Spark Futbol 2024 Term-1 Tecnico Program: $215

Hidden

Inclusions

Player Experience, Inclusions and Details:

Term-1 2024 (Feb-April).

5:30 PM Fridays

Macquarie University Sporting Fields, Campbell Field.

Players 11-14 Years Boys & Girls

* Optional Extra Prices (all players must train in full Spark Training Kit for every session):

Spark Futbol Kit Pack: $60 Quantity

Price: $ 60.00

Quantity

Spark Futbol Training Ball: $20 Quantity

Price: $ 20.00

Quantity

Discount Coupon

Credit Card

Card Details

Cardholder Name

Terms*

I understand and accept the Spark Futbol Terms and Conditions*

Terms*

I understand and accept the Spark Futbol Privacy Policy*

Total inc GST

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