St Mary's Futsal Club
This registration form is for teams who wish to enter into the 13s or 16s competitions at St Mary's Futsal Club, Karrinyup. The season runs during school term times for term 4 2018 and term 1 of 2019. Friendlies commence on Friday October 12th.

The fees for the season are $100 team nomination and $50/game, a discounted fee is available for teams that prepay for the whole season.

Once you have submitted your registration you will receive an email with further information within 24 hours.

Girls only leagues!
Team name *
Your answer
Age group for the team *
Team contact (name 1) *
Your answer
Contact 1 mobile number *
Your answer
Contact 1 email address *
Your answer
Team contact (name 2) *
Your answer
Contact 2 mobile number *
Your answer
Contact 2 email address *
Your answer
Player 1 name *
Your answer
Player 1 DOB *
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Player 2 name *
Your answer
Player 2 DOB *
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Player 3 name *
Your answer
Player 3 DOB *
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Player 4 name *
Your answer
Player 4 DOB *
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Player 5 name *
Your answer
Player 5 DOB *
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Player 6 name *
Your answer
Player 6 DOB *
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Player 7 name *
Your answer
Player 7 DOB *
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Player 8 name *
Your answer
Player 8 DOB *
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Player 9 name *
Your answer
Player 9 DOB *
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Player 10 name *
Your answer
Player 10 DOB *
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Match time preference (will accommodate when possible, please select at least 2). *
Required
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