Acceleration

Athlete 1

Athlete Details

Athlete First Name

Athlete Last Name

Date of Birth

Gender

Email Address

Confirm Email Address

Create your password

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

Confirm your password

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

Health and Fitness

Do you have any injury concerns?

Do you have any medical conditions?

Sport (if applicable)

Training Dates

Training Days & Times

Once a time slot is full you will be asked to make another choice.
There will be no sessions on the following dates: 11-Aug-2021

DISCLAIMER:
I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of Acceleration 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 Acceleration, 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

Payment Method

There are no refunds for any enrolments into Acceleration 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.

Please mail this form with a payment attached to: "Acceleration Brisbane Central, P.O. Box 1742 , Milton QLD 4064"

Time	Tue	Wed
6:05 - 7:05 pm		Jump Training NAB Stadium, 16 Dixon Street, Auchenflower $128 FULL
6:30 - 7:30 pm	Jump Training NAB Stadium, 16 Dixon Street, Auchenflower $128

Jump Training Academy @ Acceleration Brisbane Central - Term #3, 2021