FORM 1
Join the Australian soccer school Today!
No position is guaranteed, Apply now for your Trial
Company name
DOB
Phone
Email
Gender
Male
Female
Other
Address
Parent/Guardian Information (if under 18)
Parent/Guardian Full Name:
Parent/Guardian Email:
Parent/Guardian Phone Number:
Emergency Contact Name:
Emergency Contact Phone Number:
Program Selection
6-12 Years - 20 weeks $500
I.D Clinic (Footbal Fundamentals + Idetification Pathway)
12 + years
After School Program (Exposure Squad Program) -
12 + years
Before School Program (Overseas Player Management Squad)
12 + years
European Exposure Program
6 years +
1 on 1 Program
Current Skill Level:
Beginner Casual
Intermediate Part Tim
Elite Full Time
International Management
Medical Information
Does the participant have any medical conditions?
Yes
No
If Yes, please provide details:
Allergies or Dietary Restrictions:
If Yes, please provide details:
Is the participant currently taking any medications?
Yes
No
Additional Information
How did you hear about us?
Instagram
Facebook
Tiktok
Word of Mouth
Previous Football Experience:
Goals or Expectations from the Program:
Terms and Conditions
I agree to the terms and conditions and consent to the participation of my child in the Australian Soccer School program.
I agree to the terms and conditions and consent to the participation in the Australian Soccer School program.
I consent to the use of images and videos of me or my child for promotional purposes.
Submit Registration
