SKiLLS | Pirate Cup

REGOS CLOSE: Sunday 5th November COB

Each player participating must register via this form.

Player Name*

First NameLast Name

If under 18 years old - Parent/Guardian Name

First NameLast Name

DOB*

Contact Email*

example@example.com

Mobile Number*

Which league?*

Youth Mixed LeagueYouth Social Girls LeagueSenior Mixed League (16+ years old)Senior Social Womens League (16+ years old)Junior Mixed (5-12 years old)Junior Girls-Only (5-12 years old)

Team Information - Junior

Junior Teams

Juniors will be organised into teams each week and will just play games for the 45 minutes

Team Information - YOUTH

Youth Teams

Nominate x2 players you would like to play with - we will do our best to make sure you are playing with at least 1 player you know. Taroona FC will form the teams and notify you of your team 3 days before kick off.

Youth Players

Name at least 1 player you would like on your team (put NA if you do not know anyone)

Team Information - SENIOR

Senior Teams

6-8 players per team

Register as an individual or team.

Individual - will be placed/formed into a team

Team - indicate your team name below - for mixed teams you must have a minimum of 2 females on the field at all times

Senior Players

Register as IndividualOther

If registering as a team please include Team Name above and list 2-3 players names that you will be on a team with

For example: Team Name: Winners are Grinners with players Harry Potter, Zac Efron & Miley Circus

Payment must be made when completing this form.

My Products

SKiLLS | Pirate Cup Junior Player$20.00AUD

Payment for Pirate Cup junior player registration.

SKiLLS | Pirate Cup Youth Player$20.00AUD

Payment for Pirate Cup Youth player registration.

SKiLLS | Pirate Cup Senior Player$20.00AUD

Payment for Pirate Cup Youth player registration.

Total $0.00AUD

Credit Card

Contact information will be collected and used as emergency contact.

By completing this form your email address will be used for our Taroona Football Club database.