Register – ASR Football

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Parent/Guardian Details

First Name *

Last Name *

Mobile Number *

Email Address *

Confirm Email Address *

Street Address*

Suburb *
Postcode *

State*

Child Details

First Name *

Last Name *

Date of Birth(DD/MM/YYYY)*

Pre-School/School *

Has Your Child Played Soccer Before?*

Course Details

Venue*

Select Age Group*

How did you hear about the program?

Choose Payment fee(AUD)*

Parent's pay $600 intially for this payment option. After the payment, a confirmation email with enrollment number will be sent you along with instructions for future instalment payment.

ASR Training Kit and Cancellation of Sessions

Please note there will be a fee of $400 for ASR Training Kit, which has to be paid directly to our supplier. The uniform will be purchased for 2024 season and does not to be re purchased in 2025. The uniform stays the same for a 2 year period. In 2026 we will change uniform again as the product line becomes discontinued from the supplier.

I understand & agree to pay $400 for ASR Training Kit

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Course Summary

Personal Details

Parent Name : -

Contact Number : -

Email Address : -

Address : -,
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Child/Course Details

Child Name : -

Child DOB : -

Child played soccer before? :

Suburb / Timings : /

Child's Pre-School/School :

Heard about program :

Selected Program :

Enter Payment Details

Cardholder First Name *

Cardholder Last Name *

Card Number *

Expiry Month(MM)
Expiry Year(YY)
CVV

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* Upon Registration, there is no refund policy.

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Thanks for registering Winter Squad 2025 program!

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