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 30th January 2023
Bendigo Monday Mixed Social Starts 30th January 2023.
Bendigo Monday Open Women Starts 30th January 2023
Bendigo Tuesday Senior Mixed Comp. ( International Court) Starts 31st January 2023
Bendigo Tuesday Mixed Social Starts 31st January 2023
Bendigo Tuesday Open Women Starts 31st January 2023
My Products
*
prev
next
( X )
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
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Size 4 Ball
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Pay with Credit Card
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: