School Holiday Program:
Football & Speed Clinic

Full Name *

Parent's Name/s

Email *

Phone *

Current Club *

Playing age group and division *

Select Program *

Select your days

Would you like to purchase a personalised Oxidate Training Kit for the clinic? Added cost of $75) *

Yes

Shirt Size

Name you want on the back of your shirt? Make sure it is written exactly as you would like it

Choose your shirt number (leave blank if you don't want to add a number)

Shorts Size

Message

We’ll use your email address to send you our information about School Holiday before the call. We also respect your privacy like it’s our own. We will never sell, distribute or divulge your information to anyone, ever.