Futsal 2019 Registration Form
This registration form will be divided into 5 parts:
1) Team details
2) Exemption of liability and consent form
3) Emergency contact details
4) Participant(s) under 18 (if applicable)
5) Rules & Regulations
6) Registration fee and bank details

Should you need any assistance, please email us at games@malaysiangames.com.au

Team's Name *
Player 1 (Captain) Full Name *
Player 1 (Captain) Malaysian IC no. (if applicable)
Player 1 (Captain) Contact Number *
Player 1 (Captain) Email *
Player 2 Full Name *
Player 2 Malaysian IC no. (if applicable)
Player 2 Contact Number
Player 2 Email
Player 3 Full Name *
Player 3 Malaysian IC no. (if applicable)
Player 3 Contact Number
Player 3 Email
Player 4 Full Name *
Player 4 Malaysian IC no. (if applicable)
Player 4 Contact Number
Player 4 Email
Player 5 Full Name *
Player 5 Malaysian IC no. (if applicable)
Player 5 Contact Number
Player 5 Email
Player 6 Full Name
Player 6 Malaysian IC no. (if applicable)
Player 6 Contact Number
Player 6 Email
Player 7 Full Name
Player 7 Malaysian IC no. (if applicable)
Player 7 Contact Number
Player 7 Email
Player 8 Full Name
Player 8 Malaysian IC no. (if applicable)
Player 8 Contact Number
Player 8 Email
Player 9 Full Name
Player 9 Malaysian IC no. (if applicable)
Player 9 Contact Number
Player 9 Email
Player 10 Full Name
Player 10 Malaysian IC no. (if applicable)
Player 10 Contact Number
Player 10 Email
Please list down your past experiences and achievements in Futsal (Optional)
For seeding purposes; e.g. Malaysian Games 2018 Champion, MASA Games 2017 Runner Up, ASEAN Games Champion etc. This section is optional, however it would help us ensure a better draw for the tournament.
Please list down any other sports you have registered for in Malaysian Games 2019.
How did you hear about us? *
Required
If a Malaysian Games committee member referred you to sign up, please enter his/her name:
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