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Payment Details LAIDE ADE .C. UNITED F PAYMenT DETAILS INCLUDING KIT: NON MEMBerS $400 per person (Inc. GST) No.(.......) ADelAIDE UNITED FC MEMBerS / ADelAIDE UNITED CAPTAIN CLUB MEMBerS $360 per person (Inc. GST) No.(.......) Member number (if applicable) ............................................... Payment in full by 10/03/16 and receive 2 free general admission tickets to the Adelaide United game against Central Coast Mariners on the 27/03/16. Visa/Mastercard – cheques to be made payable to Adelaide United Members Club Inc. Card Number Expiry Date ......../........ CV .............................. Total Amount $.......................... Conditions/consent Adelaide United Football Club takes no responsibility for any death, injury, damage, to any person or property occurring out of, or in consequence of, the Adelaide United Football Schools program. Should it be necessary for my child to have medical or dental treatment while attending any training session and if I cannot be contacted, permission is given for the coaching staff to use their judgement in obtaining the most appropriate treatment required. Any photographs taken during these sessions are the property of Adelaide United Football Club and can be used for promotional purposes. Signed ....................................................................... Name ........................................................................ Relationship to applicant ........................................... Send this registration form to: Adelaide United Football School E PO BOX 620 Hindmarsh 5007 ADELAID ED F.C. or email [email protected] or UNIT go to www.adelaideunited.com.au ENROL AT ADELAIDEUNITED.COM.AU AUFC HOLIDAY FOOTBAll SCHOOLS COST: INCLUDING KIT REGISTRATION FORM Per person The Adelaide United Football School is back $400 Parent/Guardian details in the April school holidays for a four day Adelaide United FC Members / Adelaide intensive programme. Based on the proven $360 United Captain Club Members Name ......................................................................................... FC Barcelona philiosphy, the programme has Training kit includes jersey, shorts and socks. Address ..................................................................................... been developed and will be implemented by INCLUDES UEFA Pro Licensed Coach, Jacobo Ramallo. Suburb ................................................... Post Code ................... Adelaide United Football School spray jacket. The comprehensive four day programme has Phone ............................... Mobile ............................................ been designed to teach young footballers the Small sized groups to ensure high intensity and skills, discipline, and commitment required to quality coaching. Participant details Adelaide United FC Youth player appearances at take their football to the next level. Name ......................................................................................... Holiday Football School sessions. D.O.B ......../......./.......... Male Female WHO’S IT for? Fruit provided by Adelaide Central Market Any allergies/injuries/illness? Girls and boys between 6-16 years. at snacktime. There will be a sausage sizzle at the end of every .................................................................................................... DATES: training session. Select venue th North Zone - Commencing Tuesday 19 April 2016 North Central 10% discount on merchandise at club store for one 180 minute session for 4 days. Clothing size Kids 6 8 10 12 14 Central Zone - Commencing Tuesday 26th April 2016 New to the Adelaide United Football Schools, Lady Adult S M L XL XXL Reds player, Tiarn Powell, will be coaching in the for one 180 minute session for 4 days. April School Holidays programme. Sibling details loCATIONS: Name ......................................................................................... North Mofflin Road Oval Mofflin Road D.O.B ......../......./.......... Male Female Elizabeth Vale Any allergies/injuries/illness? Central Glenunga Hub Conyngham Street Glenunga .................................................................................................. Clothing size Kids 6 8 10 12 14 SESSION TIMES Adult S M L XL XXL Central North I wish to recieve communcations from Adelaide United. 9:30am - 6-9 yrs • • Registrations received after 08/04/16 may result in a delay of clothing delivery prior to 19/04/16 12:30pm 10-13 yrs • • 14.-16 yrs • • Payment in full by 10/03/16 and receive 2 free general admission tickets to the Adelaide United game against Central Coast Mariners on the 27/03/16..
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