M 0406 530 930 W pbfootballacademy.com.au E [email protected]

2019 IN SEASON PROGRAM REGISTRATION FORM (Term 1 and 2) 20 Weeks PLAYER’S DETAILS

Surname: First Name:

Street: Suburb:

State: Email:

Current Club: Position:

DOB: Gender:  Male  Female PARENTS/GARDIANS DETAILS

First Parent/Guardian

Surname: First Name:

Street: Suburb:

Tel(Mobile) Postcode:

Tel: (Home) Tel: (Work)

Email: Relationship:  Mother  Father  Other:

Second Parent/Guardian

Surname: First Name:

Street: Suburb:

Tel(Mobile): Postcode:

Tel: (Home) Tel: (Work)

Email: Relationship:  Mother  Father  Other:

OUR TECHNICAL DIRECTOR - PAUL BERTOLISSIO

Paul Bertolissio has been coaching for over 10 years in the area, helping develop some of Macarthur’s best players who have gone onto playing Professional football both in A-League and Overseas clubs. Paul has developed a program for all young grass roots footballers wanting to advance their game to the next level using his experience working with some of NSW Best Elite Youth Players. Through this program young players will be given the technical training required to play at an Elite Level.

Local footballers (through Paul’s coaching) now playing at elite clubs: Manchester City FC (UK), Fleetwood Town FC (UK), Western Wanderers (PYL), Sydney FC (PYL & NYL), St George Football Club (SAP & PYL), City FC (PYL), Macarthur Rams (SAP & PYL), Blacktown Spartans FC (PYL), Marconi Stallions (SAP & PYL)

M 0406 530 930 W pbfootballacademy.com.au E [email protected]

PROGRAM DETAILS

IN SEASON PROGRAM - TERM 1 2019 (Mondays and/or Wednesdays)

Mondays Mon 4 Feb 19 – Mon 8 Apr 19 (10 Weeks) Session times: 4.30pm - 5.45pm or 6.00pm - 7.15pm Please circle age: 6/7 8/9 10/11 12/13 14/15

Wednesdays Wed 6 Feb 19 –Wed 10 Apr 19 (10 weeks) Session times: 4.30pm - 5.45pm or 6.00pm - 7.15pm Please circle age: 6/7 8/9 10/11 12/13 14/15

IN SEASON PROGRAM - TERM 2 2019 (Mondays and/or Wednesdays)

Mondays Mon 29 Apr 19 – Mon 1 Jul 19 (10 Weeks) Session times: 4.30pm - 5.45pm or 6.00pm - 7.15pm Please circle age: 6/7 8/9 10/11 12/13 14/15

Wednesdays Wed 1 May 19 - Wed 3 Jul 19 (10 weeks) Session times: 4.30pm - 5.45pm or 6.00pm - 7.15pm Please circle age: 6/7 8/9 10/11 12/13 14/15

Term Fees: $250 ($25 per session x 10 Weeks) Training uniform: $50 (shirt x1, shorts x1, socks x1 pair) Training Venue: Jack Brabham Reserve, South Circuit, Oran Park

‘End of Season Program’ will commence in Term 3 on 22 July 2019 (days/times to be confirmed)

PAYMENT METHOD EFT: Acc Name: PB Football BSB: 012 318 Acc No: 301 332 375 Cash: please put child’s name on envelope Cheque: please put child’s name on envelope