Gold Coast Futsal Registration Form Term 4

Futsal Registration Form Term 4

Boys & Girls 6 - 13 Y/O
NEW FUTSAL PLAYERS: UNIFORM PURCHASE REQUIRED!

First-time BFA registrants must purchase the official BFA Uniform (Hero Jersey + Hero Shorts) via our online shop.

ACCESS BFA SHOP HERE

We recommend purchasing your uniform as soon as possible 😊

TRAINING INFO

Location: Carrara Indoor Sports Stadium
296 Nerang Broadbeach Rd, Carrara, QLD 4211

Dates
Every Tuesday, starting 7 October and ending 9 December 2025.

Time
6-9 year olds: 4PM to 5PM
10-13 Y/O: 5PM to 6PM
Player Name*

First NameLast Name
Player Date of Birth*

DayMonthYear
Date
Any medical conditions we need to be aware of? If yes, please provide details below.
Parent/Caregiver Name*

First NameLast Name
Phone Number (Parent/Caregiver)*

Area codePhone Number
Email (Parent/Caregiver)*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Postcode
PAYMENT INSTRUCTIONS

$280 per player

Payment must be made via direct transfer into the following bank account:

Account Name: Brazilian Football Academy
Bank: St George
BSB: 112-879
Account No. 476415615

Ensure that you include the player's name in the reference for the transfer.

PLEASE COMPLETE PAYMENT TRANSFER AND UPLOAD TRANSACTION RECEIPT BELOW OR EMAIL IT TO hi@bfafootball.com.
Upload transaction receipt here

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Please tick box below to accept Brazilian Football Academy's terms and conditions for new registrations.*

I am aware of my child participating in this program. I acknowledge that risk of injury is inherent in sports such as football and that from time to time, there may be accidents and falls which may cause serious injury to the participant. I indemnify Gabriel Gomes in person and The Brazilian Football Academy against any claim for damages against them as a result of any injury to my child. I certify that my child is in good health and able to participate in all activities. I agree to notify the coaching staff of any pre-existing medical or psychological conditions. If attention is required for illness or injury, I give my permission to a staff member for such care. The Brazilian Football Academy may use images taken from the BFA Academy Events on the BFA Website. If you do not want your child included in marketing images, please advise the coaching director directly that you do not permit the use of these images.
Signature (parent/caregiver)*

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