Oxley Player Registrations 2022/23

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*

Date

School Attending (if under 18)

Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Are you a member of a team already (choose one below)*

YesNo Please place me in team

Team name / Coach name*

Would you like information about becoming a Referee?

Yes - Please contact meNo

2022 Competitions Open -

Senior Mixed Social - Match Fees $90 per team per game( includes insurance) paid at venue.Senior Mens - Wednesday, Match Fees $90 Per Team (Inc Insurance) paid at venue.Seniors Mens - Thursday, Match Fees $90 per Team 9Inc Insurance) paid at venue.JUNIOR COMPETITION AND ACADEMY

TERM 1 2023 JUNIOR PLAYERS - If you played in Juniors Term 4 and paid fees please add

XTK26 in the coupon box at bottom of page. Thank you

JUNIORS*

Oxley Term 1- 2023Mondays - if player has played term 4 enter TERM 4 in coupon box below Ages 7-8-9 yrs Select Age below.

$145.00AUD

Oxley Term 1- 2023Mondays - If player has played Term 4 enter TERM 4 in coupon box below.Ages 10 - 11 - 12 -13- 14 - 15 - 16 - Select ages below

$160.00AUD

Oxley Little Feet ( 3-5 Yrs) Term 4 -SaturdaysStarts 8th October Saturdays 9am-9.45 am 9 week term

$130.00AUD

Oxley Little Feet (3-5 Yrs)Term 4 - ThursdaysStarts Thurs 13th OctoberWednesdays 4.45 to 5.30pm9 week term

$130.00AUD

Oxley Little Feet (3-5yrs) Term 4 - Sat and Thurs both days Starts 8th October Sat 9-9.45 am / Wed 4.45 to 5.30pm 9 week term

$230.00AUD

Atletico Brisbane Futsal School - Wednesdays9 weeks training

$117.00AUD

Atletico Brisbane Futsal School- Shirt ,Shorts & Socks

$70.00AUD

Futsal Balls (Oxley)Futsal Ball size 3 and 4 available** Price includes Postage (Aust). Goods posted to Address above.

$44.00AUD

Size	Quantity
Size 3 Ball
Size 4 Ball

Enter coupon

Total

$0.00AUD

Pay with 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.

Oxley Futsal Club - Player Registrations 2022/23