Kyah Simon - Contact: Get in Touch

Name

Last

Birthdate

Age

Address

Email

Phone number

Nike Shirt Size

Nike jersey sizing chart

Is your daughter registered with a local club?

Yes

No

Please provide the club’s name

Playing position

How did you hear about KSFC?

Does your daughter suffer from any medical conditions that might affect their participation?

Yes

No

Pease list the conditions of concern

Allergies? Please list if applicable:

Photography consent

Yes

No

I hereby give my consent for images of my daughter to be used for promotional purposes, including social media, future marketing, local media, Kyah Simon website, et cetera.

Does your daughter wish to be grouped with family members or friends?

Yes

No

Please enter the names of other participants here

Select Location

Registration Fee - $180 AUD

Payment Method

Stripe

Paypal

Registration Form

Registration Fee - $180 AUD

@kyahsimon

@kyahsimon

@kyahsimon

@kyahsimon17