Vector Health

Basketball and Netball - Holiday Clinic Program December 2017

Athlete/Client 1

Athlete/Client Details

Attendee First Name

Attendee Last Name

Email Address

Confirm Email Address

Create your password

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

Confirm your password

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

Sport (if applicable)

How did you hear about us?

Training Dates

From 11-Dec-2017 to 20-Dec-2017

Training Days & Times

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

			Mon	Wed
10:30 am	Strength and Conditioning Session	Vector Health 102 William St
10:30 am	Strength and Conditioning Session	Vector Health 102 William Street, Rockhampton

DISCLAIMER:
This program is designed to help netball and basketball athletes work on key determinants of performance. We will work on core strength, plyometrics for power, acceleration, change of direction and fitness specific to jump sports. The sessions will have an education focus to them and are designed to set athletes up to be able to come and train either at Vector Health and Performance after the camp or in another facility with knowledge of how to train.

Agreement

Signed (Parent/Guardian)

Date

/ /

Payment Method

There are no refunds for any enrolments into Vector Health 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

$40.00 1 Session per week - 2 weeks
$70.00 2 Sessions per week - 2 weeks

Cost Per Person

$0.00

Total Cost

Group Discount

Grand Total

PayPal (Credit Card or PayPal Account)

Credit Card (Ezidebit)

Please mail this form with a payment attached to: "Vector Health, 102 William Street , Rockhampton QLD 4700"