Spring 2023 'Spark Stopper' Specialist Camp

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

Spring 2023 'Spark Stopper' Specialist Camp: $160

Hidden

Inclusions

Player Experience, Inclusions and Details:

September 28th-29th (Thurs & Fri).

Two Timeslots by Age Group (see below).

Christie Park, Macquarie Park.

Players 9-12 years & 13-16 years (timeslots indicated below).

3-hours of speciality Goalkeeper 'Shot Stopper' small group training across two back-to-back mornings.

FREE entry into 'Spark Striker' Specialist Camp before / after players 'Shot Stopper' sessions as 'Guest Goalkeepers'

Please choose your age group (max 8 per group per timeslot)

9-12 years (10:30am-12pm + 'Spark Striker' GK FREE Entry before at 9am-10:30am - Thurs & Fri)

13-16 years (9am-10:30am + 'Spark Striker' GK FREE Entry after at 10:30am-12pm - Thurs & Fri)

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

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.

Spring 2023 ‘Spark Stopper’ Specialist Camp

First Child's Details

Second Child's Details

Third Child's Details

Fourth Child's Details

Parent's Details

Checkout