EmailMe Form - Five A Side Team Rego Form

Team Status *

Returning Team

New Team

Team Name (subject to availability) *

Managers Details (This will be the main contact for correspondence for this team) *

First Last

Email *

Phone *

Preferred Playing Night & Division *

All players must be CURRENT 2024 registered 5 a side players to participate in any 5 a side season competition. TEAM PLAYER DETAILS:

	First Name and Surname	Phone number	FFA number	DOB
Player 1
Player 2
Player 3
Player 4
Player 5
Player 6
Player 7
Player 8
Player 9
Player 10

All players must be registered prior to the start of each competition.

I acknowledge and accept the registration rules and conditions.

Five a Side Player registration is $120 per player for a 10 week competition for our Mixed and Mens/ Mens O40s competitions.

All age Womens and O40s womens will be an 8 week competition and play registration is $100 per person.

All players must register and pay individually via playfootball.com.
There will be no other match fees charged per game.

For further information - Email - Kat - Futsal@footballsouthcoast.com