test March 30, 2021 Sechu Player DetailsFirst Name* Last Name* Date of birth* Player Club Age*Select Age34567891011121314151617Program DetailsJunior Development Program (SATURDAYS)*Register for all terms and get 10% OFF Term 3: 6 Aug - 24 Sept (9 to 10 am) Term 4: 22 Oct - 10 Dec (9 to 10 am)[Please Select]Register for Term 3Register for ALL Terms and get 10% OFFPlease select your program and day* Junior Development School Clinics Please select your program and day* Junior Development School Clinics High Performance Please select your program and day* High Performance 1 on 1 JDP Saturdays Junior Development Program (SATURDAYS) Term 3: 6 Aug - 24 Sept (9 to 10 am) Term 4: 22 Oct - 10 Dec (9 to 10 am)JDP Monday Junior Development Program (MONDAYS) Term 3: 8 Aug - 26 Sept (6 to 7 pm) Term 4: 24 Oct - 12 Dec (6 to 7 pm)Please select your program and day* Junior Development School Clinics High Performance Please select your program and day* Junior Development High Performance Junior Development Program (SATURDAYS) Junior Development Program (SATURDAYS) Term 3: 6 Aug - 24 Sept (10:15 to 11:15 am) Term 4: 22 Oct - 10 Dec (10:15 to 11:15 am)Junior Development Program (MONDAYS) Junior Development Program (MONDAYS) (Note: Registrations are closed for the ages 9-12) Term 3: 8 Aug - 26 Sept (7:15 to 8:15 pm) Term 4: 24 Oct - 12 Dec (7:15 to 8:15 pm) Choose Term*[Please Select]Register for Term 3 (no discount)Register for ALL 4 terms and get 10% OFF!Term 3 / 2022*Times: 3:30 to 4:30 pm[Please Select]Immanuel College / Fridays / Dates: 5 August to 23 SeptemberSt Ignatius College (Registration Full)CBC College / Wednesdays / Dates: 3 Aug to 21 SeptemberLockleys North Primary School / Mondays/ Dates: 1 August to 19 SeptemberWould you like MCFA Training Kit? Include Training Kit ($60) No, thanks! High Performance*Tuesdays and Thursdays [Please Select]Yes, I received the invitationNot yet!Please contact us info@carruscaacademy.com.au1 on 1 or small groups training sessionsPlease let us know your day and time preferences. MCFA team will contact you shortly. Choose a Term (Ages 12-14)[Please Select]Term 1: Starts Tuesday 12 Feb - Finish Tuesday 9 AprilTerm 2: Starts Tuesday 7 May - Finish Tuesday 2 JulyTerm 3: Starts Tuesday 30 July - Finish Tuesday 24 SepTerm 4: Starts Tuesday 15 Oct - Finish Tuesday 10 DecALL TERMS (1-4) - 20% DiscountChoose a Term (Ages 12-17)[Please Select]Term 1: Starts Thursday 14 Feb - Finish Thursday 11 AprilTerm 2: Starts Thursday 9 May - Finish Thursday 27 JuneTerm 3: Starts Thursday 1 Aug - Finish Thursday 19 SepTerm 4: Starts Thursday 17 Oct - Finish Thursday 5 DecALL TERMS (1-4) - 20% DiscountChoose a Term: Newspot Stadium (Richardson Reserve)[Please Select]Term 1: 8 Feb to 28 MarTerm 2: 2 May to 20 JunTerm 3: 1 Aug to 19 SepTerm 4: 24 Oct to 12 DecALL TERMS (1-4) - 20% DiscountAcademy Kit*[Please Select]'Gioca' Training Kit $60 (presented at 1st session)I already have the training Kit from previous sessions Please note, Training Kit (short, jersey and socks) is compulsory for NEW players.Parent/Guardian DetailsFirst Name* Last Name* Contact Number* Email* Further Player DetailsConfidential Medical InformationNoneAllergiesAsthmaDiabetesEpilepsyHeart ConditionOtherSpecify Other Medical Assistance In the unlikely event of an emergency I authorise the staff of Marcelo Carrusca Football Academy to seek and/or perform appropriate medical attention. Media Release I give permission for the player's name which appears on this registration form to be photographed and/or filmed while enrolled in soccer programs with Marcelo Carrusca Football Academy. I understand that when such photos or videos are posted on the website or used for marketing purposes they will be used in accordance with the Privacy Act (1988). I agree to the Academy terms & conditions. PaymentPayment Method* EFT/Credit Card PayPal Credit CardCard Details Cardholder Name Do you have another child registered in the Carrusca Football Academy?* Does not apply to High Performance Program[Please Select]YesNoGreat! Siblings are eligible for a 20% discount. Simply use the code SIBLING20 below to activate.Discount only applies to 1 child. Total $ 0.00 PhoneThis field is for validation purposes and should be left unchanged.
