Participant / Child
Select a program & age group to suit and input the participants location and details in the fields below:
Kickstart clinic you would
like to enrol participant in:
 		 Venue location :
Holiday clinic month :

*EXACT dates and days to attend :
Important!
Use example below as a guide:
Mon 19, Tues 20, Thurs 22
Click here to open holiday clinc window to confirm clinic.
Year :

Do you want extra activities?:
Water Sports Afternoon 
Mega Sports Afternoon
Will before and after care be reqired? :
Morning Afternoon AM and PM (8:00am to 3:30pm only available on all day clinics)

Times required :
First name :
Surname :
Age :
  
Current Club :
 
Medical conditions Eg - Asthma, nut allergy:
 

Parent / Care Giver (If you have more than one child to sign in please put any additional

names in the Additional Information section below)

First name :
Surname :
Home phone :
 Mobile :
Postal Address :
 
Post code :
 Email :

Additional information (Please put pickup and drop off locations here if doing Beach Soccer Clinic with Transport) :

Payment Details - Payment must be received prior to clinic to hold place

I will be making payment using
Cheque or postal cheque- to: 'Skillster'. Send to '19 Harford St , North Ryde, 2113'
        (please write child's name and location of holiday clinic on back of cheque)
Credit Card - Payment made over phone (* $3 admin charge for phone payments)
Credit Card - NO AMEX via Acceptance Mark (after submiting this form there is a link to pay)
Recharge Credit Card (must have used card for payment within past 9 months)

NB - By Clicking the Submit button you agree to our terms, conditions and liability waiver.