Junior Player Registration

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Player Name *

First name & Surname

Date of birth *

DD/MM/YYYY

Gender

Female

Male

Other

Parent/Guardian Name *

First name & Surname

Mobile Number *

04xx xxx xxx

Email *

Suburb *

Membership Options

Passes to be paid up upon commencement of training.
Please pay membership fee to:

Club Account: FUTURE FUTSAL INC
BSB: 633-000
Account: 139384598
Transaction description: Full name of player (ie. John SMITH)

Term Pass ($150 per term)

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Player Insurance

Please go to our reg page to self-register for PlayFootball insurance cover (for all FV affiliated futsal training and matches): Futsal Registration | Thornbury | Reservoir (futurefutsal.com)

Additional Comments

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