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Welcome
Please fill out and submit our registration form.
10
Questions
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1
Player's Name
*
This field is required.
First Name
Last Name
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2
Player's Date of Birth
*
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-
Date
Day
Month
Year
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3
Select Program
*
This field is required.
Monday program
Sunday program
Other
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4
Select Membership Pass
*
This field is required.
Please pay to
Club Account:
FUTURE FUTSAL INC
BSB:
633-000
Account:
139384598 Please include your player's full name in the transaction description. * Season passes are offered until May of each calendar year
Term Pass ($150)
Double Term Pass ($250)
Season Pass ($450)
Double Season Pass ($700)
Other
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5
Parent/Guardian Name
For player's under 18
First Name
Last Name
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6
Mobile Phone
*
This field is required.
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7
Email Address
*
This field is required.
example@example.com
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8
Suburb
*
This field is required.
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9
Medical conditions
Please advise if player suffers from any medical condition or on any medications for which we should be made aware of?
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10
Signature
*
This field is required.
Please Note: Future Futsal accept no responsibility for treatment of any medical conditions a player may suffer from whilst in our care. Though Staff and Coaches apply necessary safety measures, there may be inherent risks associated with participating in sport that may result in personal injury. Although FV affiliated, Future Futsal and its staff accept no liability for injuries sustained by the player whilst in our care. I/We hereby consent to the player attending Club Future Futsal activities in accordance with the terms outlined above.
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Future Futsal Registration Form
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