Kick off date - Monday, 24th February 2020
Childs Name *
Date of Birth*
Emergency Contact (Name/Phone)*
Medical Condition (if any)
Siblings/Friends Attending Session
(Name & Age)
How did you find about Elite Pathways program?*
Current football club and Years of experience*
Next Gen Uniform Size*
-- Please Select --
I hereby give permission to Next Gen Elite Pathways to take photographs and/or videotape of my child/children and consent that these may be used for promotional purposes of the Next Gen Elite Pathways program in a manner that is not deemed adverse or defamatory to the person signing this form. Photographs /videotapes may also be used in the Next Gen Elite Pathways website, Facebook page, Instagram, YouTube accounts.
$475 for 6 weeks.
PAYMENT WILL BE TAKEN VIA PAYPAL ON NEXT PAGE.
CHOOSE PAYMENT MODE
( Pay amount in 4 weeks )
( Pay full amount )
We don’t just teach skills at our academy, for us, this is all about giving boys and girls an opportunity to learn about life, make friends, stay fit and get ahead at school. Come and join us, we will show you the way.