Bathurst

Link to the Bathurst flyer with more info

Bathurst 2017 GoalKeeping Clinic Registration

Athlete First Name: *

Surname: *

Athletes Prefered Name:

Current Playing level: *

Athlete Age: *

dd/mm/yyyy

Athlete Gender: *

Female

Male

Contact Number: *

Contact Email: *

Please indicate any pre existing medical conditions, and specify any special requirements?

Clinic Options: *

Clinic 1 - 10-13 - Saturday 16th Dec 7.30am - 9.30am

Clinic 2 - 10-13 - Sunday 17th Dec 7.30am - 9.30am

Clinic 1 - 14 and above - Saturday 16th Dec 9.30am - 11.30am

Clinic 2 - 14 and above - Sunday 17th Dec 9.30am - 11.30am

Clinic 1 - Seniors - Saturday 16th Dec 5.00pm - 7.00pm By expression of interest

Clinic 2 - Seniors - Sunday 17th Dec 5.00pm - 7.00pm By expression of interest

Parent/Guardian Information: (If Athlete is under 18)

Surname:

Parent/Guardian First Name:

Relationship to Athlete:

Contact Number In case of emergency:

I have read and understant the terms and conditions *

Yes

Captcha *

reCAPTCHA is required.

Terms and Conditions:
 1) The full price of the course must be paid for prior to course commencement to ensure registration and place in the course;
 2) A cancellation policy applies as follows: 21 days notice or more: full refund, 15-20 days notice: loss of 25% of course fee, 2-14 days notice:
 loss of 50% of course fee, 2-0 days notice: no refund. Toni Cronk will use discretion in addressing individual circumstances;
 3) Toni Cronk reserves the right to cancel a course if there are insufficient numbers;
 4) By registering you agree that there is the possibility of injury whilst participating in sport and therefore consent to first aid being carried
 out in the event of an injury;
 5) Toni Cronk accepts no responsibility for loss or damage whether to person or property in connection with this clinic.
 6) Toni Cronk may take photos during clinics for use on the website, social media, in marketing material, and for media opportunities.

For more information:

Bathurst

Bathurst

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