Football Five5 Summer Leagues 2023 Registration Juniors

Football Five5 Summer Leagues 2023 Registration Juniors

Team Nomination Form
Football SA is proud to host Football Australia’s (FA) official ‘5-a-side’ brand Football Five5, here at the new State Centre for Football.

Starts: Thursday 2 Febraury - Ends: Thursday 6 April

10 Week Competition

Times: Thursday Night 5:40pm onwards

Leagues: Boys & Girls Comps U6 - U16

Location: State Centre For Football

Cost: $100 Per Player

To nominate your team for the Football Five5 Summer Leagues 2023 please complete this form.
Name of Contact Person*

First Name Last Name
Date of Birth*

DayMonth Year
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Gender*

MaleFemale
Age Group*
Team Name*
Name - Player 1*

First Name Last Name
Name - Player 2*

First Name Last Name
Name - Player 3*

First Name Last Name
Name - Player 4*

First Name Last Name
Name - Player 5*

First Name Last Name
Name - Player 6

First Name Last Name
Name - Player 7

First Name Last Name
Name - Player 8

First Name Last Name
Name - Player 9

First Name Last Name
Name - Player 10

First Name Last Name
Did you play in the Football Five5 Summer League 2022?*
How did you hear about Football Five5?

Social mediaRadioSMSThrough a friendFootball clubOther
Declaration

The information outlined in this nomination form is true and correct. All player and team officials will be required to abide by the Rules and Regulations of Football Australia and Football SA during their involvement in the Football Five5 Competition.

All players and team officials must be registered with the Football SA in accordance to the process provided and agree to pay all fees associated with players participating in the competition.
Name*

First Name Last Name
Signature*

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