Register here for the Alliance Fire & Security Fun Football Holiday Programme
Thank you for registering for the Alliance Fire & Security Fun Football Holiday Programme. This will take place at Petone Memorial Park starting at 9.00am each day and finishing at 3.00pm and runs from Monday 2 October to Friday 6 October.

Curtis Jones and helpers will be providing a range of activities and skill sessions each day on the grass and artificial turf.

Please Note: We will be block-booking kids into groups of 14 for the main sessions ie: One coach per 14 kids. This is to ensure we meet NZ Football safety requirements and that it is economic to run the holiday programme. Don’t delay with your registration, as it may be necessary to decline some bookings if we do not have enough kids to make up groups of 14.

Please completed the details below and a confirmation email will be sent to you.

Please enter your child's name here
If you are registering more than one child please complete another form or if your children are attending the same days enter all of their names below
Your answer
Please enter the age of your child/ren below
Your answer
Please select which day or days you would like your child to attend
Parent/Guardian contact info
Full name
Your answer
Email address
Your answer
Contact phone number
Your answer
Emergency contact
Please enter full name and relationship to child
Your answer
Phone number
Please enter the phone number for the emergency contact
Your answer
Personal information
Does your child have any medical conditions?
Please list these below
Your answer
If your child is injured or becomes sick do you agree to the staff administering medical treatment?
Is there any other information we need to know?
(e.g. your child is able to walk home alone)
Your answer
What does my child need to bring?
Your child(ren) needs to bring along the following:

• Water bottle
• Snacks and a packed lunch.
• Sun cream and a hat
• Suitable outdoor clothing & a change of clothes (in case of rain)
• Towel
• Football Boots & Trainers

Payment details
Football sessions (9.00-3.00pm)
$35 per day or $150 for five days.

Credit card payments can be made at the clubrooms or bank transfers can be made to Petone FC account 020544 0149970-00 with players name and 'FUN FOOTBALL' as the reference. We would appreciate payment prior to attending the programme.

If you have any queries please contact info@petonefootball.org.nz

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