Sport Speed Clinic - Winter 2026

Select Location and Time *

Athlete Details

Given Names *

Family Name *

Contact Number *

Email Address *

Date of Birth *

Gender *

MaleFemaleOther

Club *

Does the athlete have any pre-existing conditions that may impact their participation? If yes, please provide details *

I consent for images and video taken of the athlete during this clinic to be used for social media and promotional purposes *

YesNo

Emergency Contact Information

Name *

Relationship

Mobile Phone *

Email *

If the emergency contact cannot be reached, do you consent Steel City Performance to contact emergency services in the event of an accident, injury or trauma on behalf of the athlete? *

YesNo

Is the athlete permitted to be transported by an ambulance service? *

YesNo

Payment

The cost of the Sport Speed Clinic is $50 per person.

Payment is to be made in full via bank transfer to the following bank details:

Account Name: Steel City Performance

BSB: 082-356

Account Number: 974049275

Payment Description: Please provide the Athlete's name & date of clinic in the payment description

The Athlete's position is not secured until payment has been received.

Terms & Conditions

Refunds: No refunds will be provided for withdrawal under any circumstances. If we cancel a clinic for any reason, a full refund will be processed.

Weather: Clinics will still operate in all weather conditions unless the safety of athletes and coaches is at risk. For events where cancellation is required, we will attempt to reschedule or arrange an alternative venue.

Changes: Any changes to the clinc will be communicated via email to the athlete details provided in this form.

What to Bring: Participants should wear comfortable weather appropriate athletic clothing and bring joggers, footy boots, sunscreen, a water bottle and a hat.

Liability: By participating in the clinic the athlete is aware of risks associated with physical activity while being outdoors. While all care is taken for athlete safety, Steel City Performance will not be held liable for any injury, loss, damage or death caused under any circumstances.

I have read and agree to the Terms & Conditions *

Signature *

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