St Thomas Registration Form

St Thomas’ Futsal Academy Registration

Sessions are $15 each, Term 2 - 7 weeks - $105. There is a 10% discount for siblings. First Session Thursday 24th April. Wet weather makeup sessions will be held during the last 3 weeks of term.
Are you registering for:*
Please select one option
Player Information
Player's Name*

First NameLast Name
Year Level: *
Birth Date*

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
N/a if not currently playing outdoor
Sibling's Birth Date

MonthDayYear
Sibling's Gender

MaleFemale
Siblings Player Experience
Parent/Guardian Information
Parent's Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Emergency Contact's Name*

First NameLast Name
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 Fairplay 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
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.
You will be sent an invoice following your registration. Any questions, please dont hesitate to contact us via email admin@salatimefc.com or 0422 850 683.
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St Thomas’ Futsal Academy Registration