Loganholme Academy registration form
Photo
Welcome to
Football Management Group
Loganholme International Football Academy Registration
Where: Bryants Road, Cornubia Park, Loganholme Lightening Football Club
Information refer to Nick Croyden ph 0410 401 403
Price $365 per year February through to October
Where: Cornubia Soccer Grounds, Bryant Rd, Loganholme Qld Australia
Please enter your registration information below. Once verified we will contact you to make full payment .
| Parents Name |
|
| Address |
|
| Contact Email |
|
| Moile Phone |
|
| Players Name |
|
| Date of Birth |
|
| Position Played |
|
| Club of registration |
|
| Passports held or entitled to |
|
| Medicare number |
|
| Allergies or medical conditions |
|
| Family doctor name |
|
| Family doctor contact number |
|
| A Deposit of $100.00 AUD is Required |
|
|
|
|
What to bring: Soccer shorts, socks, shirt, shin guards, boots, water bottle, wet weather gear. Lunch money for canteen.
By submitting this form: I acknowledge and accept the risks of physical harm to my child associated with this Football event; I understand that all fees must be paid in full 6 weeks prior to event commencement date or my child’s place in the School may be cancelled; I agree to the organisers administering necessary first aid and taking appropriate medical action as they deem fit in the event that my child should become sick or injured during the event; I accept that the event will be carried out regardless of inclement weather as the School should where ever possible replicate the conditions of the Glasgow Rangers Football Academy of Murray Park, Scotland, UK.