2026 Football Clinic Form

BFA Football Clinic Form Term 3

Boys & Girls U6 - U10
Clinic Program Details

Dates
6 — 7 October

Time
9AM — 12PM

Location
𝐁𝐚𝐧𝐤𝐬𝐭𝐨𝐰𝐧 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐭𝐲 𝐅𝐨𝐨𝐭𝐛𝐚𝐥𝐥, 𝐈𝐥𝐮𝐤𝐚 𝐒𝐭, 𝐑𝐞𝐯𝐞𝐬𝐛𝐲
Player Registration Details
Player Name

First NameLast Name
Player Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Any medical conditions we need to be aware of? If yes, please provide details below.
Parent/Caregiver Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: 0000 000 000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Football Clinic Term 3

Player cost for 2 days football clinic

$160 AUD

Please tick box below to accept Brazilian Football Academy's terms and conditions for new registrations

I am aware of my child participating in this program. I acknowledge that risk of injury is inherent in sports such as football and that from time to time, there may be accidents and falls which may cause serious injury to the participant. I indemnify Gabriel Gomes in person and The Brazilian Football Academy against any claim for damages against them as a result of any injury to my child. I certify that my child is in good health and able to participate in all activities. I agree to notify the coaching staff of any pre-existing medical or psychological conditions. If attention is required for illness or injury, I give my permission to a staff member for such care. The Brazilian Football Academy may use images taken from the BFA Academy Events on the BFA Website. If you do not want your child included in marketing images, please advise the coaching director directly that you do not permit the use of these images.
Signature (parent/caregiver)
Should be Empty:

BFA Football Clinic Form Term 3