Regional Athlete Program - Xmas Holidays 2016

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Athlete/Client 1

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

Athlete/Client Details

Male Female

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

Parent/Guardian Details

Address

Health and Fitness

Junior Rugby Performance Program 12-14yrs
Rugby Performance Program - Graduates
Senior Rugby Performance Program - 15yrs and over

Training Dates

From 12-Dec-2016 to 16-Dec-2016

Training Days & Times

Once a time slot is full you will be asked to make another choice.

Tuesday, 13-Dec-2016 09:00 AM to 03:00 PM 102 William Street, Rockhampton SENIOR Rugby Induction 15yrs and Over
Thursday, 15-Dec-2016 09:00 AM to 01:00 PM 102 William Street, Rockhampton JUNIOR Rugby Induction 10-14yrs

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

19-May-2024