ACE Performance

Eltham College - Term 3 Weight Room Bookings - STUDENTS

Athlete/Client 1

Athlete/Client Details

Athlete/Client First Name

Athlete/Client Last Name

Date of Birth

Gender

Email Address

Confirm Email Address

Home Phone

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

Health and Fitness

Do you have any injury concerns?

Do you have any medical conditions?

Sport (if applicable)

Training Dates

From 17-Jul-2023 to 28-Oct-2023

Training Days & Times

Please select the sessions each week that you would like to attend for Term 3 in the weights room.

Times:

M / W / F - 7:45am - 8:30am

Time	Mon	Wed	Fri
7:45 - 8:30 am	45 minutes Eltham College Weight Room	45 minutes Eltham College Weight Room	45 minutes Eltham College Weight Room

DISCLAIMER:
I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of ACE Performance coaches. I understand that similar to all sporting activities, there is a risk of damage to personal property, injury or death which may result from causes beyond the control of, and without fault or negligence of ACE Performance, its officers, agents, or employees, during the period of my (or my child's) participation. I understand completely the above agreement and agree to be bound thereby. By registering on our site you agree that we may send you email related to our facilities and programs. We will not provide your details to any other company.

Agreement

Signed (Parent/Guardian)

Date

/ /

Please mail this form with a payment attached to: "ACE Fairfield, 262A Darebin Road Fairfield, Melbourne VIC 3051"