ACT FUTSAL 2020 SCHOOL ENTRY FORM

Welcome to the 2020 Regional School Futsal Titles Entry Form. Please fill in all fields marked with an *

School *

School Contact Teacher *

Teacher Mobile Number

School Postal Address *

Suburb *

Post Code *

State *

School Phone Number *

Mobile Phone Number *

Email Address *

Additional Email Address *

TEAM ENTRY SELECTION:

Please indicate the amount of teams you wish to enter by placing the number in the fields below. If you are not entering any in that age groups please place a 0 in the box.

***Please be aware age groups may have to be combine with an older age group. eg nominated 16 Boys may have to play in a 16/19's combined.***

10 Boys

12 Boys

14 Boys

16 Boys

19 Boys

10 Girls

12 Girls

14 Girls

16 Girls

19 Girls

Additional Information

Accounts Payable Email Address: * *

For invoicing purposes. Include schools business manager or finance manager's email address for invoices to be sent to.

Terms & Conditions:

By submitting this entry into the 2020 Regional School Futsal Titles you therefore abide by the ACT Futsal Rules and Regulations as stated in the 2020 School Futsal Tournament Regulation Booklet. This booklet can be downloaded at www.schoolfutsal.com. It will also be available at all tournaments and can be sent out via mail upon request.

You understand that draws and all subsequent information is subject to change up until 5pm on the day before your nominated school titles. All schools must be available to play between the set hours for each tournament unless a written email request has been submitted and approved.

You also agree that should you remove any team from a competition after a draw has been released you will be subject to a withdrawal fee of 50% per team withdrawn.

I Agree T & C's: *

Yes

Media:

You agree that all participants have a signed Media Release form and photos or videos taken at our tournaments may be used for Australian Futsal purposes.

I Agree Media: * *

Yes No

Coaches and Team Officials are prohibited from wearing uniforms that identify them as members of or advertise private futsal clubs, programs or academies that are not affiliated with Australian Futsal Association.

The distribution of marketing materials is not allowed without the written approval of the Australian Futsal Association during all tournaments and events.

Signature *

2020 ACT FUTSAL SCHOOL ENTRY FORM