Registration Form - Pimpama | Term 4 - 2026

Program Details

  • Term 4 Dates: 9th October - 11th December 2026 (10-week program)
  • Location: Pimpama State Secondary College, Dixon Rd, Pimpama QLD 4209
  • Session Times:
    • U7-U8: 4:30 PM - 5:45 PM
    • U9-U11: 5:45 PM - 7:00 PM
    • U12-U14:  7:00 PM - 8:15 PM
  • Cost: $330 per player ($300 for payment by 5th September)
  • Payment is due by 5th October or as earlier as convenient
  • PlayOn Sports Pty
  • BSB 064793
  • ACC 10221041
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Player Name *
Gender *
DOB *
MM
/
DD
/
YYYY
Phone number *
Email Address *
Parent Name *
What Football Club did you play in this season? *
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