Ciriello Coaching
Academy
MOB: 0430 123 502
Email: [email protected]
Hockey Albury Wodonga
Hockey Development Clinic
The Coaching Academy will develop 30 to 40 Boys and Girls under 13’s, this program would be targeting players
looking to be ready for 2017 trials. We are scheduling 6 x 3 hour training sessions including 2 games. This also
includes Goal Keepers. The Development Clinic is to cover simple to specialist skills within a hockey game. We
look to challenge the way your child thinks and give them different solutions in different situations. It is based
around a progression of developing closed skills and then taking them into small games, then bigger games.
When:
February, March and April (before 2017 season)
Commencing:
Feb 18th and 19th, Feb 25th and 26th
Concluding:
March 4th and 5th
Time:
4.00pm – 7.00pm Sat and 9am to 12pm Sun
Year Levels:
Under 13’s Boys and Girls
Cost:
$65.00 per player per session
Venue:
Albury Hockey Ground
To enroll please fill out the enrolment form and send with Cheque or credit card details to:
Ciriello Coaching Academy 150/245 Thomas st, Dandenong, 3175.
Enrolment form will not be processed without payment. DO NOT leave at Enrolment forms at the school office.
Enrolment Form
Albury Hockey Development Clinic
PLEASE PRINT: School__________________________________________ Year Level:____________________ Age: __________
Name/s:__________________________________________________________________________________________________
Address:___________________________________________________________________ Post Code:____________________
Phone: (Home/Work)_______________________________________ Mobile: ______________________________________________
Medical Conditions:________________________________________________________________________________________
At the competition of the clinic day will your child?: BE COLLECTED BY YOURSELF/ SOMEONE ELSE/ CARPOOL?
PARENTS CONSENT: I hereby authorise Ciriello Coaching Academy to act on behalf of my child should they require
medical attention and release Ciriello Coaching Academy from any liability for injury incurred by my child at Ciriello
Coaching Academy programs or clinic.
Parents Name: ________________________________________ Parents Signature: ____________________________________
Payment Method:
Direct Debit: Bank: - Westpac
Name: - Lou Ciriello BSB:- 033 369 Account No.:- 345616
Credit card Payment:
Bankcard:
Visa:
MasterCard:
Card Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Expiry: _ _ /_ _
Card Holder’s Name: FOR____________________________________________________ Amount $:______________________
y forward to your child enjoying
y
Please attach Registration form with all payments.yThank you and looking
the clinic.
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