Online Registration

*Full Name of Parent / Guardian:

*Address:

*Suburb:

*State: Victoria South Australia Tasmania New South Wales Victoria Western Australia Queensland Australian Capital Territory Northern Territory

*Postcode:

*Home Telephone Number: 03

*Mobile Number:

*E-mail:

*Child's Full Name:

*Male / Female: Male Female

*Date of birth: day 12345678910111213141516171819202122232425262728293031 month January February March April May June July August September October November December year 2011 2010 2009 2008 2007 2006

*Age:

*Interested Programme: --Please Select-- Koala (ages 1 to 2.5) Emu (ages 2.5 to 3.5) Joeys (ages 3.5 and over) more info...

*Preferred Suburb Area: --Please Select-- Altona Meadows Aspendale Gardens Avondale Heights Bentleigh Berwick Black Rock Blackburn Bulleen Caulfield Cranbourne Croydon Delahey Doncaster Ferntree Gully Frankston North Frankston South Glen Waverley Greensborough Hawthorn Mornington Mulgrave Oak Park Oakleigh Pakenham Patterson Lakes Port Melbourne Prahran Preston Reservoir Rowville South Morang Vermont South Williamstown

*Available Day:
If you want to register for more than one day please leave a note in the comments below.

*When would you like to start: --Please Select-- 2012 Term 1 - February: 8 weeks 2012 Term 2 - April: 11 weeks 2012 Term 3 - July: 10 weeks 2012 Term 4 - October: 11 weeks

Other comments:

*Where did you hear about us: --Please Select-- Channel 31 Pamphlets The Athletes Foot Melbourne Child Website Melbourne Child Newspaper Referral Search Engine Kids Spot Forza Italia Football Galaxy World of Soccer Facebook Our Deal Channel 10

Voucher Code:

*Terms and Conditions:

• I give permission for my child to attend and participate in all activities in the Soccer Time Kids programme.
• All care and caution is taken at all times but as of mishap, Soccer Time Kids cannot accept liability for any injury that may occur whilst participating in one of our coaching/education programmes.
• Parents/Guardians and children participate at their own risk and shall indemnify Soccer Time Kids and its staff against all actions, suits, proceedings, demands, costs and expenses which may be taken or made against Soccer Time Kids which may arise from injury, illness or mishap.
• Soccer Time Kids cannot be held responsible for any loss or damage to any personal belongings while attending one of our coaching/education programmes.
• Any medical conditions that a participant may have must be fully disclosed to Soccer Time Kids.
• Soccer Time Kids operates a no-refund policy. Unless under extreme medical conditions. If for any reason you are not able to attend a session then a make up class can be made, if there are positions available in another class (we cannot guarantee a class). Arrangement must be made with Soccer Time Kids prior to attending another class.
• Soccer Time Kids management may occasionally take photos or video footage for promotional purposes, so please advise management if you would not like your childs image used in promotional purposes.

If you would like to read our insurance policy, please click here>>

I have read and accept the above terms and conditions.