FOOTBALLTERM1PRE-SEASONTRAININGPROGRAMME
FORALLPLAYERS
REGISTRATIONFORM
Onslow&NorthWellingtonJFClubs
30January–9March2017(6weeks)
Dear Players and Parents,
We are offering Football Summer Programme for six (6) weeks . The Term 1 Summer Programme will run one hour
weekly sessions on Monday & Wednesday and one and a half hour sessions on Tuesday & Thursday.
Training will focus on technical development as well as decision making through games.
Non-Streamed Players (Grades 8-13) who register for this program may be moved up (optional) to our
Streamed/Advanced Summer Program depending on their development during the program.
Although we are offering two (2) sessions per week for players, it is not a requirement to register for both. This is done
in order to facilitate flexibility for participants in case of conflict with other sports.
Minimum programme requirement: Twelve (12) players per session
All sessions will be held at Nairnville Turf
Cost:
Cost:
$80 per player for 6 sessions (1 hour sessions, Monday or Wednesday)
$152 per player for 12 sessions (1 hour sessions, Monday & Wednesday)
Cost:
Cost:
$120 per player for 6 sessions (1.5 hour sessions, Tuesday or Thursday)
$228 per player for 12 sessions (1.5 hour sessions, Tuesday & Thursday)
Discount:
10% Family discount for 2 or more registered players
Cancellations: Therewillbea$20cancellationfeeifaplayerwithdrawsonceprogrammehasstarted.
REGISTRATIONDEADLINE&FULLPAYMENTDUEBYSUNDAY15JANUARY2017.
Payment to: Westpac, 2 Club 03-0539-0385047-00
PLEASE include Child’s name, and Programme Code (E.g. John Smith, ATG9T42013M)
Day
Gender
Monday
Boys&Girls
2016
Gradein
Grade7-8players
Born2008,2009
ProgrammeCode Times
G78T1M
4:00pm-5:00pm
Monday
Boys&Girls
Monday
Boys&Girls
Tuesday
Boys&Girls
Tuesday
Boys&Girls
Wednesday
Boys&Girls
Wednesday
Boys&Girls
Thursday
Boys&Girls
Thursday
Boys&Girls
Grade9-10players
Born2006,2007
Grade11-13players
Born2003,2004,2005
Grade9-10STREAMEDA/Bplayers
Born2006,2007
Grade11-13STREAMEDA/Bplayers
Born2003,2004,2005
Grade8-10players
Born2007,2008,2009
Grade11-13non-streamedplayers
Born2003,2004,2005
Grade9-10STREAMEDA/Bplayers
Born2006,2007
Grade11-13STREAMEDA/Bplayers
Born2003,2004,2005
NSG910T1M
5:10pm-6:10pm
NSG1113T1M
6:20pm-7:20pm
SG910T1TU
4:00pm-5:30pm
SG1113T1TU
5:45pm-7:15pm
G810T1W
3:55pm-4:55pm
NSG1113T1W
5:00pm-6:00pm
SG910T1TH
4:00pm-5:30pm
SG1113T1TH
5:45pm-7:15pm
REGISTRATIONDETAILStobeemailedtoprogrammecoordinatorrebecca.watson@clear.net.nz
Pleasefillindetailsbelowandsign/printyournametoacceptWaiver
Paymentto:Westpac,2Club03-0539-0385047-00PLEASEincludeyourSurname,andProgrammeCode(E.g.JohnSmith,BG2003A)
Player’sName: DateofBirth: 2016ClubName:
2016TeamName:
2016Gradeplayed,StreamedAorBorNon-Streamed(required):
ProgrammeCodestoRegisterfor:
Doyougiveuspermissiontouseyourchild’simageson2-Clubswebsiteandfutureregistrationforms(groupphotos):
YES/NO(pleasecircleone)
ParentNames:
Address:
Email:
HomePhone:
ParentsMobileNumbers:
RelevantMedicalConditions:
WaiverofLiability
Iagreetothefollowing:
IgivepermissionformychildtoattendtheProgrammeandfortheProgrammeCoachesworkingwiththeCoachingCoordinatorto
actformeinanemergency.IherebywaiveandreleaseallCoaches,AcademyandtheClubsOnslowJuniorFootballClubandNorth
WellingtonJuniorFootballClubIncfromanyliabilityforinjuriessustainedtomychildwhilstinattendanceofthe2-ClubProgramme.I
acceptresponsibilityformychild'smedicalbillsandanyassociatedexpensesasaresultofinjuryorillnesssustainedwhilstin
attendance.Igiveconsentthatmychildmaybeattendedtoinanemergency.Wewillcontactyouimmediatelyanyneedarises.I
haveinformedyouofallrelevantmedicalconditionsorallergies.
Signed / Name printed by Parent / Guardian:_____________________________