CCASC Player Membership Form
2019 FEE PACKAGES
Miniroos ( Clinic ) Under 5 - Under 7 years $220.00
Miniroos Under 8 - Under 11 years $395.00
JUNIOR Under 12 - Under 18 years $495.00


UNDER 20 (No Senior or Reserve games) $550.00
SENIOR MEN 18 years + $600.00
SENIOR WOMEN $550.00
SENIOR MEN (new player) $650.00
SENIOR WOMEN (new player) $600.00

All senior membership fees include 1 x senior presentation night ticket.
All new player senior membership fees include 1 x senior presentation night ticket, 1 jacket and training kit.

INSTALLMENT PAYMENTS
If paying by installments on or after 11/2/19 please note that 50% fee deposit is required.
Those requesting a payment plan must contact the Treasurer or Registrar and complete a separate form.

PLEASE NOTE:
*ALL FEES ARE PAYABLE BY 15/3/19, NO PLAYER WILL BE ACTIVATED TO PLAY UNTIL FEES ARE PAID IN FULL.
**Online player registration via MyFootballClub website will also be required. The Club will inform all members when this becomes available.
*** Those selected to play in the FFA Cup/TeamApp Cup must have their full fees paid before round 1.

Email address *
Tell me about yourself *
Player's name and surname *
Your answer
Player's date of birth *
MM
/
DD
/
YYYY
Address *
Your answer
Emergency contact name and surname *
Your answer
Emergency contact number *
Your answer
Team played in 2018 (or previous club if new) (N/A if never played before) *
Your answer
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