Sala Time FC Junior Futsal Training Registration Form

Are you registering for:*

Please select one option

Player Information

Player's Name*

First NameLast Name

Birth Date*

MonthDayYear

Gender*

MaleFemale

Player Position

For New players only

Player Experience

For New Players Only

School*

Outdoor Club*

N/a if not currently playing outdoor

Have you played futsal previously? If so, where?

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 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

If you would like to purchase a kit (which includes shirt, shorts & socks) please advise the size below. These are optional and cost $55 (reduced down from $75) due to our generous sponsors. If so, please add the $55 to your amount owed below.