Ashgrove Acceleration - Term 4 - 2017

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Athlete 1 Details Parent/Guardian Details
Username Password
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If you do not have a username and password, one will be created for you when you submit this form.
Athlete First Name: Mother's Name:
Athlete Last Name: Mother's Email Address:
Date of Birth: Mother's Mobile/Cell:
Gender: Male Female Father's Name:
Email Address: Father's Email Address:
Confirm Email Address: Father's Mobile/Cell:
Home Phone: Do you have any injury concerns?
Mobile/Cell:
Address 1:
Address 2: Do you have any medical conditions?
Suburb/Town:
State/Prov:
Zip/Postcode:
Sport (if applicable):

Select one or more:
Marist College - Basketball
Marist College - Boarders
Marist College - Football (Soccer)
Marist College - General
Marist College - Rugby (Open)
Marist College - Rugby (Year 10)
Marist College - Rugby (Year 11)
Marist College - Rugby (Year 8 & 9)
Marist College - Swimming
Marist College - Track & Field
Marist College - Volleyball

Training Dates: From 02-Oct-2017 To 31-Dec-2017

Training Days & Times:
Please select up to 5 sessions.
Once a time slot is full you will be asked to make another choice.

Time Mon Tue Wed Thu Fri
6:15 am
General/Advanced/Boarders
Swimming
FULL
General/Advanced/Boarders
Swimming
FULL
General/Advanced/Boarders
7:15 am
General/Advanced
Swimming
General/Advanced
Swimming
Speed & Agility/General/Advanced
3:30 pm
Football 1st XI
Rugby 1st XV/Rugby U16
Football 1st XI
Rugby 1st XV/Rugby U16
General/Advanced
4:30 pm
Boarders
Boarders
Boarders
Boarders
Boarders

DISCLAIMER:
I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of Acceleration coaches. I understand that similar to all sporting activities, there is a risk of damage to personal property, injury or death which may result from causes beyond the control of, and without fault or negligence of Acceleration, its officers, agents, or employees, during the period of my (or my child's) participation. I understand completely the above agreement and agree to be bound thereby. By registering on our site you agree that we may send you email related to our facilities and programs. We will not provide your details to any other company.

I agree (Parent/Guardian):
Date: 22-Oct-2017
  
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