Player Registration

Play Futsal requires that all participants are registered prior to playing. This registration is valid for the entire calendar year in which it is made and provides you with Player Accident Cover while involved in any of our competitions. The payment for this is included as part of the team registration for Senior players and paid on an individual basis for Junior players.

Player Level *
Venue *  
Team Name *  
First Name *  
Surname *  
Address Line 1 *  
Address Line 2  
Suburb *  
State *  
Postcode *  
Country *  
Preferred Contact Number *  
Email  
Date of Birth *
  		 
Gender *
 
     

Credit Card Payment
Name on Card *  
Card Number *  
Card Expiry * /
Amount Payable $25.00