Cornubia Futsal Club - Player Registrations 2022/23
Bryants Rd Cornubia - Contact Andreas 0427 062 853 logan@australianfutsal.com Competition Starts 15th September 2022
Player name
*
First Name
Last Name
Parent/Guardian (if player under 18 Years)
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Player Date of Birth
*
-
Day
-
Month
Year
Date
School Attending (if under 18)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a member of a team already (choose one below)
*
Yes
No Please place me in team
Team name / Coach name
*
Would you like information about becoming a Referee?
Yes - Please contact me
No
Cornubia Futsal Competitions
*
Cornubia Futsal Under 7s (Born 2015/16)
Cornubia Futsal Under 9s (Born 2013/14)
Cornubia Futsal Under 11s (Born 2011 /12)
Cornubia Futsal Under 13s (Born 2009/10)
Cornubia Futsal Under 15s (Born 2007/08)
Cornubia Social Mens - (16 yrs +) Starts 15th September.
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