Edge Performance Systems

2020 Fall Program Northboro

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Athlete 1

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If you do not have a username and password, one will be created for you when you submit this form.

Athlete Details

Athlete First Name

Athlete Last Name

Date of Birth

Gender

Male Female

Email Address

Confirm Email Address

Create your password

Enter the password that you would like to use for your new account.

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Home Phone

Mobile/Cell

Parent/Guardian Details

Mother's Name

Mother's Email Address

Mother's Mobile/Cell

Father's Name

Father's Email Address

Father's Mobile/Cell

Address

Address 1

Address 2

Suburb/Town

State/Prov

Zip/Postcode

Health and Fitness

Do you have any injury concerns?

Do you have any medical conditions?

Sport (if applicable)

Training Dates

From 14-Sep-2020 to 20-Nov-2020

Training Days & Times

Please select up to 4 sessions.
Once a time slot is full you will be asked to make another choice.

DISCLAIMER:
I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of Edge Performance Systems coaches. I understand that similar to all sporting activities, there is a risk of damage to personal property, injury or death which may result from causes beyond the control of, and without fault or negligence of Edge Performance Systems, its officers, agents, or employees, during the period of my (or my child's) participation. I understand completely the above agreement and agree to be bound thereby. By registering on our site you agree that we may send you email related to our facilities and programs. We will not provide your details to any other company.

Agreement

I agree

Signed (Parent/Guardian)

Date

21-Apr-2024

Payment Method

There are no refunds for any enrolments into Edge Performance Systems related programs. When you sign/tick confirmation for this enrolment you are acknowledging that you know this as a fact and have accepted it as a condition.

Cost

$599.00 2x A Week
$899.00 3x A Week
$1199.00 4x A Week

Cost Per Person

$0.00

Total Cost

$0.00

Group Discount

Promo Code

Promo Code Discount

Grand Total

PayPal (Credit Card or PayPal Account)

Height/Weight

Height

Weight

Referral

Referred By

School Info

What is your current school

What school are your going into ?

What is your current skating or skills schedule

Please provided all coaches contact info

Enter security code

Time	Mon	Tue	Wed	Thu	Fri
10:00 - 11:30 am	3x week Northboro 4x week Northboro	3x week Northboro 4x week Northboro		3x week Northboro 4x week Northboro	3x week Northboro 4x week Northboro
12:00 - 1:30 pm	3x week Northboro 4x week Northboro	3x week Northboro 4x week Northboro		3x week Northboro 4x week Northboro	3x week Northboro 4x week Northboro
2:00 - 3:30 pm	3x week Northboro 4x week Northboro	3x week Northboro 4x week Northboro		3x week Northboro 4x week Northboro	3x week Northboro 4x week Northboro
3:30 - 5:00 pm	2x week Northboro 2x week Northboro 2x week Northboro	2x week Northboro 2x week Northboro 2x week Northboro	2x week Northboro 2x week Northboro 2x week Northboro	2x week Northboro 2x week Northboro 2x week Northboro	2x week Northboro 2x week Northboro 2x week Northboro
5:00 - 6:30 pm	3x week Northboro 3x week Northboro 3x week Northboro 4x week Northboro 4x week Northboro 4x week Northboro	3x week Northboro 3x week Northboro 3x week Northboro 4x week Northboro 4x week Northboro 4x week Northboro	3x week Northboro 3x week Northboro 3x week Northboro 4x week Northboro 4x week Northboro 4x week Northboro	3x week Northboro 3x week Northboro 3x week Northboro 4x week Northboro 4x week Northboro 4x week Northboro	3x week Northboro 3x week Northboro 3x week Northboro 4x week Northboro 4x week Northboro 4x week Northboro