St Catherine's School Futsal Registration Form

Are you registering for:

Please select one option

Player Information

Player's Name*

First NameLast Name

Year Level: *

Birth Date - Only Children in Year 1 and older can register:*

MonthDayYear

Gender*

MaleFemale

Player Position

For New players only

Player Experience

For New Players Only

School*

Siblings Name if applicable

First NameLast Name

Siblings Year Level

Sibling's Birth Date

MonthDayYear

Sibling's Gender

MaleFemale

Siblings Player Experience

If you have more than one sibling, please send through their details via email admin@salatimefc.com.

Parent/Guardian Information

Parent's Name*

First NameLast Name

Phone Number*

E-mail*

example@example.com

Emergency Contact's Name*

First NameLast NameSuffix

Phone Number*

Relationship*

I would like to register my child/ren for:*

Term 1 only (6 week block starting 27 February - $90)Term 2 only (10 week block starting 24 April - $150)Term 1 and Term 2 (Your child will receive a free training shirt with this option)

I would like to use a Play on voucher to pay for my child/ren's fees:*

YesNo

I hereby authorise for medical assistance to be obtained for my child if required in the event of an accident, illness or injury*

YesNo

For new players please provide shirt size

I hereby grant permission to Sala Time FC representatives, to take and use photographs and/or digital images of me or my child for use in: 1. Media releases, media articles – including newspapers, radio, television – printed publications and/or educational materials relevant to Sala Time Fc. 2. Electronic publications and communications such as the Sala Time Facebook & Instagram pages and website. 3. I authorise the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Sala Time Fc.

YesNo

Would you like to purchase a training shirt? These are normally $30 each but discounted down to $15 for St Thomas players. If so, please list your child's normal size for clothing.

My Products*

1 Child8 sessions including training shirt

$158.25AUD Quantity

1 Child (Play On Voucher)Please forward voucher via email for redemption

$ FreeAUD Quantity

Total

$0.00AUD

Payment Methods

Credit Card

Apple Pay

Please note, payment amount includes CC processing fee.

St Catherine's Futsal Academy Registration

Payment Methods