FUTSAL TEAM NOMINATION FORM
TEAM INFORMATION
TEAM NAME: *
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AGE GROUP: *
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TEAM ORGANISER INFORMATION
TEAM ORGANISER NAME: *
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TEAM ORGANISER EMAIL: *
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CONFIRM EMAIL: *
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TEAM ORGANISER MOBILE NUMBER: *
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PLAYERS INFORMATION
PLAYER 1 FIRST & LAST NAME: *
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PLAYER 1 DATE OF BIRTH: *
MM
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DD
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YYYY
PLAYER 2 FIRST & LAST NAME: *
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PLAYER 2 DATE OF BIRTH: *
MM
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DD
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YYYY
PLAYER 3 FIRST & LAST NAME: *
Your answer
PLAYER 3 DATE OF BIRTH: *
MM
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DD
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YYYY
PLAYER 4 FIRST & LAST NAME: *
Your answer
PLAYER 4 DATE OF BIRTH: *
MM
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DD
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YYYY
PLAYER 5 FIRST & LAST NAME: *
Your answer
PLAYER 5 DATE OF BIRTH: *
MM
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DD
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YYYY
PLAYER 6 FIRST & LAST NAME:
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PLAYER 6 DATE OF BIRTH:
MM
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DD
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YYYY
PLAYER 7 FIRST & LAST NAME:
Your answer
PLAYER 7 DATE OF BIRTH:
MM
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DD
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YYYY
PLAYER 8 FIRST & LAST NAME:
Your answer
PLAYER 8 DATE OF BIRTH:
MM
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DD
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YYYY
PLAYER 9 FIRST & LAST NAME:
Your answer
PLAYER 9 DATE OF BIRTH:
MM
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DD
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YYYY
PLAYER 10 FIRST & LAST NAME:
Your answer
PLAYER 10 DATE OF BIRTH:
MM
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DD
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YYYY
PLAYER 11 FIRST & LAST NAME:
Your answer
PLAYER 11 DATE OF BIRTH:
MM
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DD
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YYYY
PLAYER 12 FIRST & LAST NAME:
Your answer
PLAYER 12 DATE OF BIRTH:
MM
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DD
/
YYYY
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