MPFC - Term 3 Development Clinics
When: Term 3
Date: Monday 5 August - Monday 23 September
Cost: $250 for 8 Weeks
Time: 5pm - 6pm
Ages: 8 - 10 years - Mixed 

Date: Monday 5 August - Monday 23 September
Cost: $250 for 8 Weeks
Time: 6pm - 7pm
Ages: 10 - 11 years - GIRLS ONLY

Email: info@monaropanthers.com.au for all enquiries

Sign in to Google to save your progress. Learn more
Email *
Name of Player *
Name of Parent/Guardian *
Parent/ Guardian Contact Number *
Date of Birth for Player *
MM
/
DD
/
YYYY
Does your child/children suffer from a Medical Condition?   *
Do you have Ambulance Cover?* *
Please select the Program you would like to register your child for: *
I understand I am required to make payment prior to arrival. Reference ID: T3DC,  Surname, Given Name. Payment made to:  BSB 325 -185  Account: 3690588 *
Photography & Videography Consent & Release form for Minor Children (u18) 2021. I hereby grant permission to Monaro Panthers FC representatives, to take and use photographs and/or digital images of me in:                                                            
1. Electronic Publications and communications such as the  Monaro Panthers FC Club Facebook and Instagram Page.                  
 2. I agree that my name and identity may be revealed in descriptive text or commentary in connection with the image/s.                                                                               
3. I authorise the use of these images without compensation to me.                                                           
4. All negatives, prints, digital reproductions will be the property of the Monaro Panthers FC. Please click to indicate:
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms