HAWKESBURY CITY FOOTBALL CLUB SKILLS ACADEMY

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Use this form to register your child in our skills training program.

Player Name (First and Surname) *

Address

Email Address *

Parent 1 Name and Contact Number *

Parent 2 Name and Contact Number

Player Date of Birth *

YYYY

Medical Conditions *

Medicare Number *

I verify that my child is physically able to participate fully in the Hawkesbury City Football Club Skills Academy, run by Hawkesbury City Football Club. If in the event of my son/daughter is injured whilst attending the Hawkesbury City Football Club Summer Academy and I cannot be contacted on the above number(s), I hereby give consent for my child to receive initial medical attention. I understand and accept that whilst reasonable care will be taken, neither Hawkesbury City Football Club nor the facility shall be held responsible for any personal injury or loss by, or to, the applicant, however so caused. I agree to hold harmless the Hawkesbury City Football Club of any and all liabilities, actions, courses of action, claims and demands of every kind and nature whatsoever, which may arise in connection with or resulting from my child participating in any of the Hawkesbury City Football Club activities and assume all risks resulting from the participation in all activities of the Hawkesbury City Football Club. *

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