Soccer, education, promotion and management by Sports Education Group, Sydney, Australia

CLINIC ATTENDEE DETAILS
Name (of child)*
school	.
Club

Address

Suburb	State Postcode
Work Phone	AH Phone
Mobile
Email*	(required as you will be notified by e-mail)
Date of birth
Additional children's details		Please include: first name, surname, date of birth, medical condition and mobile no. Please also include address and day telephone nr. if it is different from first child.


ORDER DETAILS
Sport	Location and date	Price	players
JULY 2007 SOCCER CLINICS SOCCER SYDNEY	Tuesday 3rd July West Epping Oval 9am-3pm	$55
	Wednesday 4th July Peel Park, Gladesville 9am-3pm	$55
	Thursday 5th July Homelands Reserve, Carlingford 9am-3pm	$55
	Tuesday 10th July Asquith Soccer Club 9am-3pm	$55
	Wednesday 11th July Dural Public School 9am-3pm	$55
	Thursday 12th July Pennant Hills High School 9am-3pm	$55
SOCCER CANBERRA	Thursday 19th July TUJFC, Wanniassa 9am-3pm	$55
JULY 2007 NETBALL CLINICS	Tuesday 10th July Pennant Hills Park 9am-3pm	$55
	Thursday 12th July Meadowbank Park, Ryde 9am-3pm	$55

COMMENTS (please use this space for our question and any other comments you may have)
Any medical condition? (If YES, please indicate the condition and medication required)