Registration Form - After School Program

Full name of player                                                                   Gender

                   Boy         Girl

Date of Birth                                                                             Address

Program                                                                                   Start Date of Program

After School Program - Gold Coast - Once a week After School Program - Brisbane - Once a week                                 

Please choose your Schedule according to the appropriate age:

Parent's Full name (for players younger than 18 years)                 Parent's Contact

                             Phone:   Mob:

Parent's e-mail                                                                           Emergency Contact (Name and Phone)

Where did you hear about us?

Medical Info (Allergies, relevant medical history, etc.)

Terms and Conditions:

Brazil Football School is open to children between the ages of 5 to 16 and have also programs for adults. Brazil Football School shall not be responsible for any children left unsupervised outside the hours established in each program. Bookings can be made through internet or Fax and will not be accepted on the first day of the course. Payment is regarded as acceptance of the booking conditions. Cancellations made up to 10 days before the program begins will receive a 50% refund. No refunds for cancellations received less than 10 days before the program (no exceptions). There is a $10 charge for any changes to an original booking, which must be received in writing. Brazil Football School reserves the right to make date/venue changes if necessary. Brazil Football School cannot be held accountable should the activities be suspended or cancelled due to bad weather. Brazil Football School programs will operate to the highest safety standards but it cannot be held liable or responsible for damages, injuries or loss of possessions and parents/guardians are advised to obtain personal insurance for these occurrences. We strongly advise for valuable items to be left at home. Misbehavior will result in the participant being suspended from the program; no refund will be given. A confirmation email or text will be sent as proof of booking, if you have not received it at least 5 days before your preferred date please contact the office on 1300 883 116. Parents/Guardians of participants may be contacted within 12 months of the completion of the 2010 program to inform them of the 2010/11 programs.
 

Please read carefully the terms and conditions above before submitting the form. By submitting it you hereby agree with the terms and conditions.

I have read the terms and conditions.