Registration Form

Registration Form

Please fill out this form to register for the academy. All fields marked as required must be completed.
PLEASE NOTE: cost is for x1 parent and x1 player for the Parent and Player option.
Email us to receive a discount code.
Full Name

First NameLast Name
Secondary person attending name - if applicable
Email Address
example@example.com
Secondary person email - if applicable
example@example.com
Phone Number
Please enter a valid phone number.Format: 0000-000-000.
Secondary person phone number - if applicable
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Secondary person date of birth - if applicable

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Secondary person address - if applicable

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Additional Comments or Questions

Individual registration

$50.00 per player

$50.00 AUD

Parent and Player (Please note: valid for x 1 parent and player attending)

$90.00

$90.00 AUD

Total