Acceleration

SPEED CAMP - Summer Holidays 2024/25 @ Acceleration Brisbane North

Group Bookings

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Athlete 1

Athlete Details

Athlete First Name

Athlete Last Name

Date of Birth

Gender

Email Address

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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

Health and Fitness

Do you have any injury concerns?

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Sport (if applicable)

How did you hear about us?

Training Dates

From 16-Dec-2024 to 23-Jan-2025

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: 26-Dec-2024

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

Signed (Parent/Guardian)

Date

/ /

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.

Cost

$25.00 (per session)
$187.00 All 11 Sessions

Cost Per Person

$0.00

Total Cost

Group Discount

Promo Code

Promo Code Discount

Grand Total

Credit Card (Ezidebit)

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

Acceleration Camp Participants - Media Release Information 2024

Media Release Action:

Footage in the form of photographs and video may be taken during sessions to be used on Acceleration's social media and website.

If you would not like to be in photos or videos during sessions, it is your responsibility to notify the person taking the footage or Email us prior to the session so we can avoid you in the footage.

I agree with the above statements and it is my intention to follow all guidelines to the best of my ability:

I agree

Monday, 16-Dec-2024	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Thursday, 19-Dec-2024	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Monday, 23-Dec-2024	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Monday, 30-Dec-2024	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Thursday, 02-Jan-2025	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Monday, 06-Jan-2025	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Thursday, 09-Jan-2025	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Monday, 13-Jan-2025	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Thursday, 16-Jan-2025	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Monday, 20-Jan-2025	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session
Thursday, 23-Jan-2025	02:30 PM	to 03:30 PM	Sports Hall at Sandgate District SHS, Depot Rd, Deagon QLD	Speed Camp - Session