MUFC SUMMER 6'S TEAM NOMINATION FORM

MUFC SUMMER 6'S TEAM NOMINATION FORM
Competition starts Tuesday 30th September 2025

Team Nominations and payments are due by Tuesday 23rd September 2025. If you have not paid by this date your team nomination will not be accepted.

There will be 2 sign on events at MUFC Clubhouse:

1. Tuesday, 16th September 2025 at 6:30pm - 8:30pm

2. Tuesday, 23rd September 2025 at 6:30pm - 8:30pm

TEAM NOMINATION FEES: $770.00 PER TEAM (min 6 - max 10 players)

**only one payment per team will be accepted**

- Payment details:

DIRECT DEPOSIT: BSB: 034-197 ACCOUNT: 602 894 ACCOUNT NAME: MUFC

Please use team name and division as reference (example: BULLS B MENS)

CASH: Cash payments will ONLY BE accepted on Tuesday, 16th September 2025 and Tuesday, 23rd September 2025.

EFTPOS: EFTPOS/CREDIT CARD payments will ONLY BE accepted on Tuesday, 16th September 2025 and Tuesday, 23rd September 2025. Note: Surcharges will apply for EFTPOS payments
Team Name
Team Colour
Team Contact Name

First NameLast Name
Team Contact Phone Number
Please enter a valid phone number.Format: 0000-000-000.
Team Contact Email Address
example@example.com
Team Division
PLAYER DETAILS TO BE PROVIDED (Max 10 players per team)

Mens Divisions: Players 16 years old and older will be accepted (Any player born after 30/09/2009 will NOT be allowed to play.)

Ladies Divisions: Players 15 years old and older will be accepted (Any player born after 30/09/2010 will NOT be allowed to play.)
Player 1

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 2

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 3

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 4

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 5

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 6

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 7

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 8

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 9

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Player 10

First NameLast Name
Date of Birth

DayMonthYear
Date of Birth
Contact Number
Please enter a valid phone number (include '07' for landline numbers)Format: 0000-000-000.
Registered in 2025 Season
If answered yes to the above, please select Division:
Team Insurance Waiver and Release of Liability

As Team Captain, by submitting this form I confirm that:
- Risk Acknowledgement
  I understand that football involves physical contact and activity that carries a risk of injury. All players on my team accept this risk voluntarily.
- Waiver and Release
  On behalf of myself and all players on my team, I release and discharge Mareeba United Football Club, its officials, volunteers, sponsors, and affiliates from any liability, claims, or damages arising from participation in this competition
- Insurance Responsibility
  I acknowledge that Mareeba United Football Club does not provide personal injury or medical insurance. All players are responsible for their own coverage.
- Medical Consent
  In the event of injury or medical emergency during the competition, I authorise the Club to seek necessary treatment for any of my team members. All medical expenses will be our responsibility.
- Team Responsibility
  I confirm that all players have been informed of this waiver and agree to its terms. I accept full responsibility for my team's compliance with the Club’s rules and code of conduct.
As team captain it is YOUR responsibility to show this waiver to your team members and to seek approval from them before finalising this nomination form.
Confirmation of Insurance Waiver
My Products
prevnext( X )
Mens A Grade
A GRADE MENS

$770.00 AUD



Mens B Grade
B GRADE MENS

$770.00 AUD



Ladies A Grade
A GRADE LADIES

$770.00 AUD



Ladies B Grade
B GRADE LADIES

$770.00 AUD



Total

$0.00 AUD
PAYMENT METHOD:
Should be Empty:

MUFC SUMMER 6'S TEAM NOMINATION FORM

My Products