enquiry-form-eliteperformancecentre

I express interest to sign my child up to the WEDNESDAY Elite Performance Centre *

Yes

Child's full name: *

DOB: *

Medical info: *

Parent Full name: *

Parent Email *

Parent phone: *

Emergency phone 2:

Name of Junior football Club currently at: *

Age group: *

What level does your child's football team play at: *

Please, describe your motivation to join the Elite centre: *