REFUGEE WEEK JUNIOR 5-A-SIDE FOOTBALL CARNIVAL
Registration form
Thank you for your interest in participating in Football South Australia’s Refugee Week Junior 5-a-side Football Carnival on Saturday, 21 June 2025 at Servicefm Stadium, Gepps Cross. Please complete the form below to register a junior participant. This event is open to players aged 5–17 from refugee and migrant backgrounds.
PARTICIPANT DETAILS
Full Name
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
Age Group
MiniRoos (5-7 years)
MiniRoos (8-11 years)
Youth (12-14 years)
Youth (15-17 years)
Gender
Male
Female
Non-binary
Prefer not to say
PARTENT/GUARDIAN DETAILS
Full Name
First Name
Last Name
Relationship to the Particpant
Email
example@example.com
Phone Number
Please enter a valid phone number.
MEDICAL INFORMATION
Does the participant have any medical conditions or allergies?
Please Select
Yes
No
If yes, please specify:
CONSENT
I consent to my child participating in the Refugee Week Junior 5-a-side Football Carnival.
Please Select
Yes
No
I give permission for photos and/or videos to be taken and used by Football South Australia for promotional purposes.
Please Select
Yes
No
ADDITIONAL NOTES OR INFORMATION
Anything else we should know:
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REGISTER PARTICIPANT
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