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Page 1: WESTFIELDS SPORTS Holiday Football Clinic€¦ · WESTFIELDS SPORTS Holiday Football Clinic Players of all levels are invited to attend this 3-day holiday clinic. This is an excellent

WESTFIELDS SPORTS Holiday Football Clinic

Players of all levels are invited to attend this 3-day holiday clinic. This is an excellent opportunity to train under the guidance of our highly qualified, accredited coaches. Dates : 21, 22 & 23 September 2015 (Monday - Wednesday) Time : 9.30am - 12.00pm Venue : Westfields Sports Synthetic Pitch (Entry via Jordan Street) Ages : 6yrs - 12yrs Cost : $160.00 To secure your place complete the attached registration / payment form & return to: Tracey Giorguitti Westfields Sports 406a Hamilton Road Fairfield West. NSW. 2165 Fax : 02 97254898 Email : [email protected] For Further Information Contact: Kory Babington Director of Football Mob: 0414 551 872 [email protected]

Nahuel Arrarte Football Coach Mob: 0421 251 795 [email protected]

Page 2: WESTFIELDS SPORTS Holiday Football Clinic€¦ · WESTFIELDS SPORTS Holiday Football Clinic Players of all levels are invited to attend this 3-day holiday clinic. This is an excellent

WESTFIELDS SPORTS Holiday Football Clinic Registration Form

Surname ............................................ Given Name .............................................

☐ Male ☐ Female

Date of Birth: ...........................................

Current Club ................................................................................................

Contact Numbers: ....................................... (H) ....................................... (M)

Email Address ........................................................................................................

Medical Issues ........................................................................................................

....................................................................................................................................

OFFICE USE ONLY :

Receipt No. : ............................................. Date : ................................. I wish to register & pay the FOOTBALL HOLIDAY CAMP charge of $160.00 to Westfields Sports High School. I enclose ☐ Cheque ☐ Money Order Please debit my ☐ Mastercard ☐ Visa

Credit Card No. ☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐ Card Holders Name : ........................................................................................

Expiry Date : ☐☐☐☐

Signature of Cardholder : ....................................................................................

Page 3: WESTFIELDS SPORTS Holiday Football Clinic€¦ · WESTFIELDS SPORTS Holiday Football Clinic Players of all levels are invited to attend this 3-day holiday clinic. This is an excellent

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