PROSPECT FUTSAL CLUB

PROSPECT FUTSAL CLUB
GOLD COAST INTERNATIONAL | U19s
By completing this form, you confirm your interest (or that of your child) to be involved with Prospect Futsal Club U19s squad to train and represent the club and South Australia at Gold Coast International Tournament held in Gold Coast on 18-22 January 2023.

The Gold Coast International Futsal Cup is Australia’s largest and most competitive International Futsal tournament where the winners are invited to compete against the worlds best at the World Futsal Championships in Orland Florida USA.

With representative teams from Australia, New Zealand, Solomon Islands and Asia, the Gold Coast International Futsal Cup is the marquee event in the Australian Futsal calendar.

The event stands as the largest International youth futsal tournament in Oceania; providing players with the rare opportunity to be seen by professional coaches and scouts.

The Gold Coast International Cup is run under the auspice of the FFA and Football Queensland.
Fields marked with a red asterisk (*) are mandatory and must be completed.
Name*

First NameLast Name
Player Date of Birth*

MonthDayYear
Date
Player Email*
example@example.com
Player Phone Number*

Area CodePhone Number
Brief description of Futsal and/or Soccer experience **
- If player is not yet 18 years of age or older, please provide the name and contact details for a parent/caregiver below:
Parent/Caregiver Name

First NameLast Name
Parent/Caregiver Email
example@example.com
Parent/Caregiver Phone Number

Area CodePhone Number
Should be Empty:

PROSPECT FUTSAL CLUB

GOLD COAST INTERNATIONAL | U19s