LITTLE DOLPHINS - TERM 1
TERM 1 COMMENCES FEBRUARY 16TH 2019
THE PROGRAM IS THE PERFECT INTRODUCTION TO FOOTBALL FOR 3 - 5 YEAR OLDS. EACH SESSION RUNS FROM 9:00AM - 9:45AM THROUGHOUT THE SCHOOL TERM. REGISTRATION FOR EACH TERM IS $95 PER CHILD. FOR AN ADDITIONAL $30, A LITTLE DOLPHINS TRAINING SHIRT CAN BE PURCHASED DURING THE SESSIONS
CHILD'S FULL NAME *
Your answer
CHILD'S DATE OF BIRTH *
Your answer
PARENT/GUARDIAN'S FULL NAME *
Your answer
EMAIL ADDRESS *
Your answer
CONTACT PHONE NUMBER *
Your answer
WOULD YOU BE INTERESTED IN JOINING THE AC CARINA FC COMMITTEE? *
WOULD YOU OR YOUR WORK/BUSINESS BE INTERESTED IN BECOMING A CLUB SPONSOR? *
PAYMENT INFORMATION BELOW
PLEASE MAKE PAYMENT IN FULL TO AC CARINA FOOTBALL CLUB USING THE DETAILS BELOW
TERM 1 - $95

ACCOUNT NAME - AC CARINA FOOTBALL CLUB
BANK - NATIONAL AUSTRALIA BANK
BSB - 084 293
ACCOUNT NUMBER - 63 608 9354

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