World's Longest Futsal Game Sign-Up
Personal Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How old are you?
If you are under 18* you will need parental permission. A permission form will be emailed after submission of the form.
Other information
When is your availbility?
The whole game July 20th-23rd
July 20th
July 21st
July 22nd
July 23rd
Will you be able to fundraise the $250 entry fee?
The $250 covers the cost of a jersey, playing time, player kits, certificate, refreshments, and more.
Why do you want to take part in the World's Longest Futsal Game for Alberta Dreams?
Emergency Contact Information
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Email
example@example.com
The fundraising link will be sent to you after your submission is received & accepted.
Submit
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