Junior Futsal Academy July Holiday Clinic registration
WHEN: 9am - 3pm, Tuesday July 9 - Friday July 12 WHO: Boys and girls aged 7 - 17 WHERE: Perth Modern School, off Subiaco Road, Subiaco
COST: $300/child ($260 for those who already have a JFA kit), which includes 24 hours of coaching from National and State level coaches as well as Spanish Professional coach Adrian Martino, fun activities and gameplay, morning and afternoon tea, as well as a brand new full kit (jersey, shorts and socks, which will be able to be kept for future clinics). Or $85/day for individual days (must wear previous kit or purchase new kit separately).

For more info please call 0438125897 or send an email to doc@westcoastfutsal.org.au.
Payment can be made on the day with cash or via direct deposit, details will be sent via email on request.

Players name and DOB *
Your answer
2nd child's name and DOB (only if you have a 2nd child registering for the clinic)
Your answer
3rd child's name and DOB (only if you have a 3rd child registering for the clinic)
Your answer
Best contact number *
Your answer
Best contact email address *
Your answer
Shirt size (Adult sizes) *
Shorts size (Adult sizes) *
Socks size (Adult sizes) *
Extra children shirt, shorts and socks sizes
Your answer
Please indicate which days your child will be attending *
Does your child/ren have any special dietary requirements (for morning tea and afternoon tea) *
Your answer
Does your child/ren have any medical conditions that could effect them during the holiday clinic (please give detail, as well as any medication that they might have with them ie ventolin inhaler) *
Your answer
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