YOUNG GUNS - LITTLE CHAMPIONS 2024
REGISTRATION FORM
PLAYER NAME
First Name
Last Name
DATE OF BIRTH
-
Day
-
Month
Year
Date
GENDER
Male
Female
Other
PARENT NAME
MOBILE NUMBER
Please enter a valid phone number.
EMAIL ADDRESS
example@example.com
Address
Street Address
Street Address Line 2
City
State
Postcode
DAYS/TIMES (Start date to be confirmed by SSGSC)
Saturdays, 9:30am, only when SSGSC hosts Miniroos (Except school holidays)
VENUE
Rushforth Park, South Grafton
IS YOUR CHILD INJURY FREE & FIT TO PARTICIPATE
Yes
No
WOULD YOU SAY YOUR CHILD IS MORE:
Shy
Outgoing
SEASON FEES: $65
I commit to pay.
I won’t be attending.
BANK DETAILS, PLEASE TAKE A SCREENSHOT OR WRITE IT DOWN FOR PAYMENT AFTER SUBMITTING THIS FORM: South Services Gunners Soccer Club; Bendigo Bank; BSB: 633 000; ACC: 124 294 174; REF: PLEAYERS NAME+YG
Ok
BY SELECTING “YES”, I ACKNOWLEDGE THAT THE INFORMATION IS TRUE AND CORRECT.
Yes
No
TYPE YOUR NAME BELOW TO REGISTER YOUR ELECTRONIC SIGNATURE
Submit
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