Clone of Term 1 2026 Grasshopper Soccer

I wish to enroll my child to:

Name of Student:

First NameLast Name

Date of Birth:

DayMonthYear

Uniform Pack:

Mega Pack for Kids under 5 will be given a Drink Bottle instead of Shin Pads as they aren't required for this age.

Uniform Size

Uniforms are larger than standard sizing. Please order a size down from what you would normally order.

Add ons:

Address of Student:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Full Name of Parent / Guardian

First NameLast Name

Mobile Number

Please ensure this is correct as all updates for the term will be sent through via text.

Secondary Mobile Number

Please add a secondary contact if you would like more than one person notified (not required).

E-mail

Relation to the child:

Signature

Total Cost

Payment can be made below, if ordering a uniform payment must be completed upfront.

If selecting "pay later" a link will be sent with options to complete payment at a later date.

Message us for alternate payment options.

Would you like to Pay now?

AUDPay Now Options Below

Credit Card

Apple Pay

Afterpay

Grasshopper Soccer