Phone: 0487897694 / Email: info@lcfootball.com.au

Book Now (OLD)





Welcome to the La Cantera Football Online Booker. Booking a Training Program is very simple by completing the registration form below. Please follow the instructions:

- Select the Program you wish to reserve
- Complete Player Details and Emergency Contact
- Payment Process
- Please ensure you read our Terms and Conditions and accept these before proceeding further.

Once these have been processed your child's place will be reserved on the chosen Program. You will then receive a confirmation email with details of the Program you have booked. Applications are not confirmed until receiving the payment (see Term and Conditions)

SELECT PROG.039

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First Name (required)

Last Name (required)

Gender (required)

Date of Birth (required)

Email (required)

Address (required)

Suburb (required)

Postcode (required)

Current Club (required)

Playing Position (required)

School (required)

Additional Information (i.e. Important Medical Information, etc)

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Contact 1 (required)

Relationship (required)

Phone Number (required)

Email (required)

Contact 2

Relationship

Phone Number

Email

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Finalise registration by completing the Bank Transfer to:
"La Cantera Football"
Commonwealth Bank of Australia
Account Number: 1052 9460
BSB: 063-175
Total cost: $180
(please include participant name and surname as reference)

*Applications are not confirmed until receiving the payment
*The penalty for enrolment cancellation will be 100% of the total cost

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Official La Cantera Football photographs may be taken on the Programs. These pictures/videos could be used for marketing purposes (website, social networks, emails and other promotional materials)

I authorize La Cantera Football to act on my behalf or seek emergency medical attention should my child require it and release La Cantera Football from any liability for injury incurred by my child at any La Cantera Football Program.

Please read the Term and Conditions and confirm you accept them.

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