Football SA 2022 Country Futsal Championships

Football SA 2022 Country Futsal Championships

Team Nomination Form
Football SA will be conducting the Football SA Country Futsal Championships on Sunday 10 July 2022 @ Minlaton Basketball Stadium - Minlaton.

To nominate your team please complete this form.

Nominations to be received by 9:00am, Monday 27 June 2022.
Association Name*
Team Name*
Age Group*
Name of Contact Person*

First NameLast Name
Email*
example@example.com
Phone Number

Area CodePhone Number
Team Colours - (Home)
Shirt / Short / Socks
Team Colours - (Alternate)
Shirt / Short / Socks
Team List

Please list the players that will be participating with your team. A maximum of ten (10) players. All players will be required to register and pay through the PlayFootball registration system. Players that have previously been registered with Football SA will register using their current registration number. Players and team officials are to register to Football SA 2022 Country Futsal Championships via www.playfootball.com.au.

Please follow the link;

https://registration.playfootball.com.au/common/pages/reg/welcomeregplus.aspx?entityid=74064&id=96554
Name - Player 1

First NameLast NameFFA Number
Name - Player 2

First NameLast NameFFA Number
Name - Player 3

First NameLast NameFFA Number
Name - Player 4

First NameLast NameFFA Number
Name - Player 5

First NameLast NameFFA Number
Name - Player 6

First NameLast NameFFA Number
Name - Player 7

First NameLast NameFFA Number
Name - Player 8

First NameLast NameFFA Number
Name - Player 9

First NameLast NameFFA Number
Name - Player 10

First NameLast NameFFA Number
Declaration

The information outlined in this nomination form is true and correct. All players and team officials will be required to abide by the Constitution and Rules and Regulations of Football Australia and Football SA during their involvement in the Futsal Competition.

All players and team officials must be registered with the Football SA in accordance to the process provided and agree to pay all fees associated with players participating in the competition.
Further Information
Name*

First NameLast Name
Signature*

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