Registration Form

Registration Form - July 2025 (Holiday Clinic)
Address
Address
Is the participant registered with a local club?
Does the participant have any medical conditions?
Does the participant wish to be grouped with family/friends?
Registration Fee - $180 AUD
Payment Option
Consent to Participate
Medical Treatment Consent
Media Consent
I give permission for photos and videos taken during the clinic to be used by KS17FC for promotional and social media purposes. I understand that no names will be used without additional consent.
Waiver and Release of Liability
Acknowledgement & Consent Confirmation
By ticking this box, I confirm that I have read and agree to the KS17FC Terms & Conditions and Consent & Waiver Form. I understand the risks involved in participation. I acknowledge that media consent is addressed separately and can be selected as Yes or No within the form.