Fitzroy Lions Soccer Club - 2025 Season Support Form

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At Fitzroy Lions Soccer Club (FLSC), we believe that everyone deserves the opportunity to play soccer, regardless of financial circumstances. Our Player Support Program is designed to help players and families who may need financial assistance with registration fees for the season.

By completing this form, you allow us to better understand your situation and explore ways to support your participation. All information provided will be treated confidentially and assessed based on available resources.

✅ How It Works:

Fill in your details and answer a few questions.

Consider volunteering with the club in any way you can.

Submit the form and our team will review your request.

We appreciate your honesty and commitment to the club. If you have any questions, feel free to reach out to us via email info@fitzroylions.com

Let’s get started! 👇
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Name* This field is required.
First Name
Last Name
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Birth Date* This field is required.
Date
Month
Day
Year
4
Gender* This field is required.
Please Select
Please Select
Male
Female
5
Address* This field is required.
Street Address
Post Code
Australia
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Email* This field is required.
example@example.com
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Phone Number:* This field is required.
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At FLSC, we aim to make soccer accessible for everyone, regardless of financial circumstances. To help us understand your situation and provide the necessary support, please complete the following:
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Are you currently receiving any government assistance? (e.g., Centrelink, JobSeeker, Youth Allowance, etc.)* This field is required.
YES
NO
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Are there any specific financial challenges impacting your ability to pay the minimum club fee of $350?* This field is required.
YES
NO
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Would you be open to volunteering or supporting the club in any way? (e.g., coaching, assisting on Match days, events and transportation,)* This field is required.
YES
NO
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Would you like to set up a direct debit payment plan to help cover your fees over time?* This field is required.
YES
NO
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How much are you able to contribute towards your registration fee?* This field is required.
$50
$100
$150
$250
Other
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Applicant's Signature* This field is required.I confirm that the information provided above is true and accurate to the best of my knowledge. I understand that Fitzroy Lions Soccer Club will assess this application based on available resources and financial need.
Clear
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Parent/ Guardian Signature* This field is required.I confirm that the information provided above is true and accurate to the best of my knowledge. I understand that Fitzroy Lions Soccer Club will assess this application based on available resources and financial need.
Clear
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