12-month All Access Strike Soccer Membership! Fill the form out to sign up! $1000+ GST/year all programs inclusive!

This form is to be submitted by guardians wishing to sign up to our 12-month access membership. Once this form is filled out, we will soon send out information on payment and other important details. Thank you!

Child Name

First Name

Last Name

Guardian Name

First Name

Last Name

Guardian Email

Guardian Mobile

What your child is likely to be involved in this year

After School Programs

Holiday Clinics

Futsal Teams

Cup Teams

Talent Development Program

UTAS Club Teams

SAP (Clarence Zebras)

Other

Disabilities, conditions or allergies

Does your child have any disabilities or conditions that the coaches should be aware of? If no, skip this question. If yes, please explain what the disability is:

Consent

I consent to my child being under care of Strike Soccer coaches from the commencement to the completion of the training sessions attended. Please check box to consent.

Consent

Disclaimer

Disclaimer of Liability. TO THE EXTENT NOT PROHIBITED BY LAW, UNDER NO CIRCUMSTANCES SHALL HSS BE LIABLE WITH RESPECT TO THE SERVICE FOR SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, HOWEVER ARISING, WHETHER ARISING UNDER TORT (INCLUDING NEGLIGENCE), CONTRACT OR OTHERWISE. IF, HSS IS FOUND TO BE LIABLE FOR ANY DAMAGE OR LOSS THAT ARISES OUT OF OR IS IN ANY WAY CONNECTED TO THE PROVISION OF THE SESSIONS, HSS ENTIRE LIABILITY FOR DIRECT DAMAGES SHALL, IF NOT COVERED BY INSURANCE, BE LIMITED TO THE AMOUNT PAID FOR THE PROVISION OF THE SERVICES.