MERRIMAC FC OPEN DAY REGISTRATION 2026

MERRIMAC FOOTBALL CLUB

Registration 2026 SEASON
PLAYER INFORMATION
Players Name

First NameLast Name
Date Of Birth

MonthDayYear
Date
Gender
Address

Street Address

Street Address Line 2

CityState

Post Code
Additional Player Information
FFA Number
How Many Years Playing?
Previous Clubs?
What Position(s) Do You Play?
Do you want to play in a girls only team
What School Do You Attend?
Do You Have Any Allergies?
Do You Take Any Medication We Should Be Aware Of?
Primary Parent/Guardian Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: 0000-000000.
Email
example@example.com
Address (If Different From The Player's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
My Products
prevnext( X )
Deposit For 2026 Season
$300.00 AUD



U5's - U6's
$800.00 AUD



U7's
$950.00 AUD



U8's - U11's
$1,200.00 AUD



U12's - U16's
Both Boys and Girls

$1,350.00 AUD



Development Squad Training (U9's - U16's)
1.5hr Training session (Extra Training Kit Included & MFC Winter Hoodie

$1,900.00 AUD



Total

$0.00 AUD
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Merrimac Football Club during training and game days. In exchange for the acceptance of said child’s candidacy by Merrimac Football Club, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Merrimac Football Club and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of participating in all activities.

I understand that it is my responsibility to keep the Club updated with all relevant information, especially emergency contacts and medical details. I understand that in the event of any injury or illness, all reasonable steps will be taken to contact me, and I give permission for the Club and/or any medical authorities present, to administer any appropriate or necessary medical attention.

I consent to Merrimac Football Club maintaining records and information relating to my child in confidential electronic documents and in Club information folders for the purpose of Club Administration.

I consent to the club using appropriate images and photos/video of my child for purposes relating to the promotion and marketing of the Club and its activities.

I declare that the above information is true and correct. We the Player and Parent/Guardian agree to abide by Merrimac Football Clubs ‘Code of Conduct’ (see website). Failure to follow our ‘Code of Conduct’ may lead to suspension or immediate termination of contract.
CONFIRMATION

BY AGREEING ABOVE AND SUBMITTING THIS FORM, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT IS EQUIVALENT TO AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Dear Merrimac FC Families,
We’re excited to welcome your child to another fantastic season at Merrimac Football Club! To secure your child’s spot for the 2026 season, we kindly ask that you pay a deposit of $300 as soon as possible.
This deposit ensures your child’s place on the team and allows us to plan effectively for kits, coaches, and programs.

Please note: The $300 deposit is non-refundable and will be deducted from your total registration fee for the season.

How to pay:
Please follow the instructions provided in your registration email or contact the club directly if you need payment details or assistance.

If you have any questions or require support, don’t hesitate to reach out to us at info@merrimacfc.com.

Thank you for your prompt attention – we look forward to another great year on the field!

Kind regards,
Chris Cahill

President, Merrimac Football Club
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MERRIMAC FOOTBALL CLUB

PLAYER INFORMATION

Additional Player Information

Primary Parent/Guardian Information

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