Limestone Coast Futsal - Consent Form

Limestone Coast Futsal Consent Form

Please read and complete this consent form to confirm that you have read and agree to all required documentation.
This form must be completed individually by either participants over the age of 18, or by the parent(s) or guardian(s) of participants who are under the age of 18.
Parent(s) or guardian(s) should ensure they and their children are familiar with all documentation, especially Football SA's Codes of Conduct, and the Limestone Coast Futsal League's Regulations regarding child safety: Junior players must have at least one responsible person with them at all times.
Full Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Team name*
Team colour*
League selection*

Juniors (Mixed)Seniors (Mixed)Girls/Women
Junior Age Group
I am a...*

CoachParent or caregiverPlayer (must be over 18).
If you are a parent or caregiver, of which child?
Football SA Codes of Conduct (Parents/Junior Players, Spectators)

Football SA - Acquiring and Displaying Images of Children

Football SA - Child Safe Regulations

Football SA - Social Media Policy

Football Australia - XI Standards of Respect

Limestone Coast Futsal League - Regulations
Consent*

I confirm that I have read and agree to abide by the above documents.I confirm that I have registered to play via Play Football.If I have not registered, I confirm that I will have registered by Round 2 of the Futsal League, on 1/2 November, or within two weeks of having been submitted to a team.
Signature

Clear
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

Limestone Coast Futsal Consent Form