Thank you for your interest in
SOCCERWISE®
!
We'll get back to you soon with either a 'Booking Confirmation' or the information that you have requested.
Regards
SOCCERWISE®
SOCCERWISE®
'private lessons' are ideal for:
Children that love the game of soccer
Children that display a real talent for the game of soccer
Children that may wish to be further challenged and taken outside of their natural skill set
Children that may lack confidence and benefit from one-on-one coaching
PRIVATE LESSON COST (inc. GST)
Number of Participants
Cost
Cost per Participant
1
$90.00
$90.00
2
$100.00
$50.00
3
$105.00
$35.00
4
$120.00
$30.00
Costs include all coaching fees, equipment and GST
Transport and Venue Hire charges may apply.
INFORMATION REQUEST / BOOKING FORM
**
*
PARENT'S NAME:
*
PARENT'S SURNAME:
*
EMAIL:
*
PHONE:
*
POSTCODE:
*
CHILD'S NAME:
*
CHILD'S DATE OF BIRTH:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
month
1
2
3
4
5
6
7
8
9
10
11
12
year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
*
PREFERRED DAY FOR PRIVATE LESSON:
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
*
REASON FOR PRIVATE LESSONS (please tick)
TALENTED PLAYER REQUIRING ADDITIONAL COACHING
LOVES SOCCER BUT LACKS CONFIDENCE
OTHER
*
HOW MANY PRIVATE LESSONS DO YOU REQUIRE?:
5 (minimum booking)
6 - 10
11 - 15
16+
I WOULD LIKE ADDITIONAL INFORMATION ON (please tick)
WEEKEND PROGRAMS
SCHOOL PROGRAMS
HOLIDAY PROGRAMS
BIRTHDAY PARTIES
ADULT & CORPORATE
CHARITY PROGRAMS
WEEKDAY PROGRAMS
COMMENTS:
**
PLEASE NOTE THIS IS A BOOKING FORM AND NOT A BOOKING CONFIRMATION.
YOU WILL RECEIVE A BOOKING CONFIRMATION EMAIL FROM SOCCERWISE®
AS SOON AS YOUR REQUEST HAS BEEN CONFIRMED.
*
REQUIRED FIELDS