Registration Form
Welcome to the Registration for Coogee White Tigers Football Club & Celtic FC Soocer Academy.
This registration form covers ages from Under 3 to Under 16 year age groups - boys and girls - Winter/Summer & Academy Programs.

*Winter Season - April to August
*Summer Season - Januray to March & September to December

Please complete this form and submit when finished. Providing you have entered the correct email address, you will be notified that your registration was successfully submitted to our Registrar.

Terms & Conditions of Membership *
Please read and accept the terms http://coogeewhitetigers.com.au/terms-conditions/
Required
Player Gender *
Player First Name *
Your answer
Player Surname *
Your answer
Player Date of Birth *
Day/Month/Year
MM
/
DD
/
YYYY
Email *
Please enter your preferred email address.
Your answer
Secondary Email
If you would like to receive notification to another email as well.
Your answer
Mobile Phone Number *
Your answer
Home Phone Number
Your answer
Player Previous Football Club (Enter Team Colour/Coach Name if from CWT) *
Please provide name of Football Club played in last season (if any)
Player Current School *
Please provide name of School your child attends
Your answer
Player Age Group *
Please select appropriate age group for your child
Playing Kit Size *
Please choose appropriate size
Address *
House/Unit Number, Street
Your answer
Suburb *
Your answer
State *
Required
Post Code *
Your answer
Medical Condition(s) *
Any medical conditions we should know about?
Required
Medical Info
If "Yes" Please provide Details
Your answer
Emergency Contact Details
Please provide best contact in case of emergency
Parent/Guardian/Carer's Name *
Your answer
Relationship to Player *
Your answer
Contact Number *
Your answer
Fees and Payment Instructions
Payments can be made online by way of transfer to the account below / by cheque / or by cash.

Account Name: Coogee White Tigers FC
Bank: NAB
BSB: 082274
Account Number: 398029865
Please use "Surname" as reference.

Please Note: Submitting this form does not guarantee your position in a team until payment is made in full. Price below also includes playing jersey, shorts, socks (plus below stipulated by age group)

WINTER SEASON FEES
*The First 3 options all play at Heffron Park, Robey St on weekends.

*Coogee White Tiger Cubs U3-U5 $299 with Early Bird Discount
Saturday Training and Games
(Standard Price In Season $369)

*Coogee White Tigers U6-U7 - $299 with Early Bird Discount
Weekend games, 1 x Mid-Week with Pro Coach and 1 x mid-week with own parent/volunteer coach if available. Includes full kit (jersey/shorts/socks)
(Standard Price In Season $369)

*Coogee White Tigers U8/U9/U10 - *EASTERN SUBURBS CUP* (ALL GAMES HEFFRON PK, SAME TIME, SAME PLACE)
$339 with Early Bird Discount
Weekend games, 1 x Mid-Week with Pro Coach and 1 x mid-week with own parent/volunteer coach if available. Includes full kit (jersey/shorts/socks)
(Standard Price In Season $369)

Coogee White Tigers U11-15 - *EASTERN DISTRICT FOOTBALL* (VARIOUS GROUNDS FOR GAME DAYS)
$399 with Early Bird Discount
Weekend game, 1x Mid Week with Pro Coach & 1 x mid-week with own parent/volunteer coach if available. Includes full kit (jersey/shorts/socks) & training jersey.
(Standard Price In Season $459)

*Sibling Discounts as follows: $25 off for the second child, $50 off for the third child and $75 off for the fourth child.
*Active Kids Voucher, please send your details to us to file the claim for the voucher.

ACADEMY PROGRAM
January to March
$ 585
*U7-12
Includes 2 Training Sessions per week
Selected Academy Games

September to December
$ 585
*U7-12
Includes 2 Training Sessions per week
Selected Academy Games

Payment Method
This is to advise us of your payment method.
Receipt/Cheque Number
Either Transfer Confirmation Number if done online or Cheque Number if posting.
Your answer
Payment Amount *
Note: Please enter the amount you have paid online or cheque amount so that we can reconcile our accounts against your Name. THIS AMOUNT SHOULD MATCH YOU PROGRAM / AGE GROUP SELECTION ABOVE
Payment or Other Comments:
Please leave a comment if you need to explain payment details. For example "Payment was made for 2 players" or "Could Sam please train/play with David Smith" or "I would like to pay for U6 plus additional training".
Your answer
Would you like to be a Volunteer Coach / Club volunteer? *
Please advise how you could assist
Submit
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