Bendigo Futsal Club - Player Registrations 2022/23
62 Hattam St, Golden Square Contact Aidan 0427 519 250 Email bendigo@australianfutsal.com
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
COMPETITIONS
JUNIOR FUTSAL
SENIOR FUTSAL
SENIOR COMPETITIONS - Fees paid at venue on night
*
Bendigo Monday Senior Mixed (international Court) Starts 3rd Oct
Bendigo Monday Mixed Social Starts 3rd Oct.
Bendigo Monday Open Women Starts 3rd Oct
Bendigo Tuesday Senior Mixed Comp. ( International Court) Starts 4th Oct
Bendigo Tuesday Mixed Social Starts 4th Oct
Bendigo Tuesday Open Women Starts 4th Oct
Junior Competitions Open - Starting September 2022
*
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Bendigo Under 6s (Born 2016/17)
Wednesdays - Starts 5th October
$
280.00
AUD
Bendigo Under 8s (Born 2014/15)
Wednesdays - Starts 5th October
$
280.00
AUD
Bendigo Under 10s (Born 2012/13)
Wednesdays - Starts 5th October
$
280.00
AUD
Bendigo Under 12s (Born 2010/11)
Wednesdays - Starts 5th October
$
280.00
AUD
Bendigo Under 14s (Born 2008/09)
Thursdays - Starts 6th October
$
280.00
AUD
Bendigo Under 16s (Born 2006/07)
Thursdays - Starts 6th October
$
280.00
AUD
Bendigo Under 18s (Born 2004/05)
Thursdays - Starts 6th October
$
280.00
AUD
Futsal Balls (Bendigo)
Futsal Ball size 3 and 4 available** Price includes Postage (Aust). Goods posted to Address above.
$
44.00
AUD
Size
Quantity
Size 3 Ball
1
2
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5
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94
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96
97
98
99
100
Size 4 Ball
1
2
3
4
5
6
7
8
9
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100
Credit Card
Submit
Should be Empty: