Register Galaxy Academy Have you registered with Galaxy Football Academy before? Renew your Registration Otherwise, please fill out the form below. * Player's Name: * Date of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 * Street Address: * Suburb: * State: * Postcode: * Email: * Phone: Current Club: * School: * Age Group: U/5's U/6's U/7's U/8's U/9's U/10's U/11's U/12's U/13's U/14's U/15's U/16's * Shirt Size: 6 8 10 12 14 16 S Mens M Mens L Mens Does your child suffer from any Medical, Physical or Emotional Condition that we should be aware of? * PARENT / GUARDIAN CONSENT: I approve of the application and understand that the organisers will take all responsible care to ensure the well-being of my child/children during the course of the lesson. I give my consent for any necessary medical treatment and agree to meet any and all expenses incurred, and release the coaching staff from all indemnity while my child is participating. I also give consent to the Galaxy Football School to photograph the students and publish them for marketing materials on the basis that the photos’ will be used in a professional and responsible manner. I agree to these terms and conditions.
