Acceleration Australia

Sport Speed Clinic Tallebudgera - Term 3 2025 @ Acceleration Gold Coast

Group Bookings

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Athlete 1

Athlete Details

Athlete First Name

Athlete Last Name

Date of Birth

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Home Phone

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Parent/Guardian Details

Mother's Name

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Father's Name

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Father's Mobile/Cell

Health and Fitness

Do you have any injury concerns?

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Sport (if applicable)

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Training Dates

From 31-Jul-2025 to 18-Sep-2025

Training Days & Times

Please select up to 8 sessions.
Once a time slot is full you will be asked to make another choice.

Thursday, 31-Jul-2025	04:30 PM	to 05:30 PM	Court #1 Gold Coast Recreation Precinct, 1525 Gold Coast Highway, Palm Beach QLD 4221	Sport Speed Clinic
Thursday, 07-Aug-2025	04:30 PM	to 05:30 PM	Court #1 Gold Coast Recreation Precinct, 1525 Gold Coast Highway, Palm Beach QLD 4221	Sport Speed Clinic
Thursday, 14-Aug-2025	04:30 PM	to 05:30 PM	Court #1 Gold Coast Recreation Precinct, 1525 Gold Coast Highway, Palm Beach QLD 4221	Sport Speed Clinic
Thursday, 21-Aug-2025	04:30 PM	to 05:30 PM	Court #1 Gold Coast Recreation Precinct, 1525 Gold Coast Highway, Palm Beach QLD 4221	Sport Speed Clinic
Thursday, 28-Aug-2025	04:30 PM	to 05:30 PM	Court #1 Gold Coast Recreation Precinct, 1525 Gold Coast Highway, Palm Beach QLD 4221	Sport Speed Clinic
Thursday, 04-Sep-2025	04:30 PM	to 05:30 PM	Court #1 Gold Coast Recreation Precinct, 1525 Gold Coast Highway, Palm Beach QLD 4221	Sport Speed Clinic
Thursday, 11-Sep-2025	04:30 PM	to 05:30 PM	Court #1 Gold Coast Recreation Precinct, 1525 Gold Coast Highway, Palm Beach QLD 4221	Sport Speed Clinic
Thursday, 18-Sep-2025	04:30 PM	to 05:30 PM	Court #1 Gold Coast Recreation Precinct, 1525 Gold Coast Highway, Palm Beach QLD 4221	Sport Speed Clinic

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 Australia 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 Australia, 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 Australia 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

$35.00 (per session)
$240.00 All 8 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 East, Level 1, The Arena, Sleeman Sports Complex Cnr Old Cleveland Road and Tilley Road, Chandler QLD 4155"

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