Beaudesert Futsal Club - Player Registrations 2022/23
Playing at Beaudesert State High Contact Andreas 0427 062 853 logan@australianfutsal.com Competition Starts 5th October 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
Competitions / Futsal Schools
*
Social Mixed Summer - Wednesday Night. Starts 5th October. Games played at Beaudesert State High School.
Beaudesert Gol Brasil Futsal School - Level 1 Starts 12 Oct to 30 Nov - 8 weeks - Level 1 is from 6 to 9 yrs at 4.15pm to 5.00pm
Beaudesert Gol Brasil Futsal School Level 2 is from 10 to 13 yrs at 5.00pm to 6.00pm
My Products
*
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Beaudesert Gol Brasil Futsal School - Level 1
Starts 12 Oct to 30 Nov - 8 weeks Level 1 is 6 to 9 years at 4.15pm to 5.00pm
$
72.00
AUD
Beaudesert Gol Brasil Futsal School Level 2
Starts 12 Oct to 30 Nov - 8 Weeks - Level 2 is 10-14 years at 5.00pm to 6.00pm
$
72.00
AUD
Futsal Balls
Futsal Ball size 3 and 4 available** Price includes Postage (Aust). Goods posted to Address above.
$
44.00
AUD
Size
Quantity
Size 3 Ball
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Size 4 Ball
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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.
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