Striker Lab Football Academy Session Booking
Sign up for the best football training!
Player Full Name
*
First Name
Last Name
Football Experience
*
Please Select
Beginner
Club Level
NPL
Player Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Age Group
*
Please Select
U7
U8
U9
U10
U11
U12
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address (confirmation & instruction email will be sent to this email)
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Information (Allergies, conditions, etc.)
*
Session Training Time
*
Ages 7-9 (5:00 PM- 6:00 PM)
Ages 10-12 (6:15 PM- 7:30 PM)
Session Start Date-The Wednesday you choose is your first session. From there, your child will be automatically booked into the same Wednesday time slot each week, for however many sessions you’ve purchased
Session Prices- NEW MEMBERS MUST PURCHASE A ACADEMY KIT. Prices include field hire for wet weather events.
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( X )
8 Session Bundle- 8 Weeks Remaining on term 4
$200.00 AUD
$
200.00
AUD
Academy 10 Session Bundle-New Player (includes kit)
$320.00 AUD
$
320.00
AUD
Academy 10 Session Bundle
$250.00 AUD
$
250.00
AUD
Academy 5 Session Bundle
$150.00 AUD
$
150.00
AUD
Academy 5 Session Bundle-New Player (includes kit)
$220.00 AUD
$
220.00
AUD
Academy Single Session
$40.00 AUD
$
40.00
AUD
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
I have read and agree to the Striker Lab Football Academy Terms & Conditions (provided in the link below).
*
Photo and media consent
*
I consent to photos and videos being taken during sessions and used for advertising and promotional purposes.
Signature
Please Fill In The Below Only If You Have Purchased A New Player Package.
Jersey Name
Jersey Size
Please Select
Y3XS
Y2XS
YXS
YS
YM
YL
YXL
S
M
L
XL
Shorts Size
Please Select
Y3XS
Y2XS
YXS
YS
YM
YL
YXL
S
M
L
XL
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