WWFC GALA DAY REGISTRATION FORM
Gala Day
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Select Your Gala Day
Under 10s & Under 11s
Terms & Conditions
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Team Name
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Managers Name
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First Name
Last Name
Coaches Name
*
First Name
Last Name
Email Address
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Confirmation Email
Mobile Number
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Club
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Please Select a Club
Outside Central Coast Region
Avoca Football Club
Barnstormworth United FC
Berkeley Vale Soccer Club
Budgewoi Football Club
Central Coast School
Doyalson Soccer Club
East Gosford Football Club
Gosford City Football Club
Gwandalan Football Club
Kanwal Football Club
Kariong Football Club
Killarney Soccer Club
Kincumber Football Club
Mountains Football Club
Ourimbah Football Club
Southern & Ettalong United
Terrigal Football Club
The Entrance Football Club
Toukley Soccer Club
Umina Soccer Club
Woy Woy Football Club
Woongarrah Football Club
Wyong Soccer Club
Wyoming Football Club
Association
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Other Club
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Age
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Under 10s
Under 11s
Grade
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How Many Players
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Please Select Number of Players
9
10
11
12
13
Player 1
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First Name
Last Name
Player 1 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 1 DOB
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/
Day
/
Month
Year
Date
Player 2
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First Name
Last Name
Player 2 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 2 DOB
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/
Day
/
Month
Year
Date
Player 3
*
First Name
Last Name
Player 3 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 3 DOB
*
/
Day
/
Month
Year
Date
Player 4
*
First Name
Last Name
Player 4 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 4 DOB
*
/
Day
/
Month
Year
Date
Player 5
*
First Name
Last Name
Player 5 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 5 DOB
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/
Day
/
Month
Year
Date
Player 6
*
First Name
Last Name
Player 6 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 6 DOB
*
/
Day
/
Month
Year
Date
Player 7
*
First Name
Last Name
Player 7 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 7 DOB
*
/
Day
/
Month
Year
Date
Player 8
*
First Name
Last Name
Player 8 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 8 DOB
*
/
Day
/
Month
Year
Date
Player 9
*
First Name
Last Name
Player 9 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 9 DOB
*
/
Day
/
Month
Year
Date
Player 10
*
First Name
Last Name
Player 10 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 10 DOB
*
/
Day
/
Month
Year
Date
Player 11
*
First Name
Last Name
Player 11 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 11 DOB
*
/
Day
/
Month
Year
Date
Player 12
*
First Name
Last Name
Player 12 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 12 DOB
*
/
Day
/
Month
Year
Date Picker Icon
Player 13
*
First Name
Last Name
Player 13 FFA Number
*
To get FFA ID Visit myfootballclub.com.au
Player 13 DOB
*
/
Day
/
Month
Year
Date
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Payment Area
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U10 & U11 Gala Day
$210.00 AUD
$
210.00
AUD
WWFC U10 & U11 Gala Day Fee
Stripe Processing Fee
$3.87 AUD
$
3.87
AUD
Stripe standard processing fees 1.70% plus $0.30c
Total
$0.00 AUD
$
0.00
AUD
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
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September
October
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Expiration Month
Expiration Year
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2027
2028
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2030
2031
2032
2033
2034
2035
2036
2037
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2040
2041
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2044
2045
Expiration Year
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