Rydalmere Summer Soccer 2024

Rydalmere Summer Soccer 2024
Team Name
Team Colour
Age Group
Team Level*
Contact Person

First NameLast Name
Contact Phone Number

Phone Number
Email Address
example@example.com
Players List
Coach Name

First NameLast Name
By signing this form, you affirm that all the information herin is true and correct to the best of your knowledge. Any false information or misrepresentation that shall be found may cause the disqualication of such individual and penalty may be incurred against the team.
Coach or Representative's Signature

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Name of Signatory

First NameLast Name
Date Signed

MonthDayYear
Date
Payment required for the total number of players per team:

Fees per player $125

Rydalmere Lions FC

B.S.B: 062 099

Acc No: 10349575

Please use the Team Name and Age Group as payment reference

We will not accept individual payments as it is a Full Team Payment
Should be Empty: