Mt Gravatt 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 Mens - Mondays Start 5th September, Match Fees $90 per team per game paid at venue ( includes insurance) .Senior Mixed - Mondays Start 5th September Match Fees $90 per team per game paid at venue.JUNIOR COMPETITIONS / ACADEMY /FUTSAL SCHOOL - Term 1, 2023

FOR JUNIOR PLAYERS WHO PLAYED IN LAST TERM 4 COMPETITION PLEASE ADD UTU71 IN COUPON BOX AT BOTTOM.

My Products*

MT Gravatt Under 6/7s- Term 1 2023Starts 23rd Jan

$145.00AUD

Mt Gravatt Under 8/9s - Term 1 2023Monday Start 23rd Jan

$145.00AUD

Mt Gravatt Under 10/11s - Term 1 2022Start 23rd Jan

$160.00AUD

Mt Gravatt Under 12s - Term 1 2023Starts 23rd Jan

$160.00AUD

Mt Gravatt Under 13 Girls - Term 1 2023Starts 23rd Jan

$160.00AUD

Mt Gravatt Under 13/14s - Term 1 2023Starts 23rd Jan

$160.00AUD

Mt Gravatt Under 15 Girls - Term 1 2023Starts 23rd Jan

$160.00AUD

Mt Gravatt Under 15/16s - Term 1 2023Starts 23rd Jan

$160.00AUD

Enter coupon

Total

$0.00AUD

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Mt Gravatt Futsal Club - Player Registrations 2022/23