2012 Winter Competition
Futsal Team Nomination form
Team Name:
Proposed Grade : One MIXED grade only available
Manager/Captain:
Phone:
Email:
No FFA ID No
1
2
3
4
5
6
7
8
9
10
First name
Surname
Team colours:
(subject to team nominations)
Mobile:
Phone No
DOB
Rego Fee
Paid
Shaded columns are for AWFA use.
All players / managers / teams are responsible for acknowledging conditions of entry to the centre; centre competition rules; laws of the game.
Game start times vary from 6.00pm to 9.45pm.
FAX to: (02) 6021 0454 OR email to [email protected] OR drop in to Sports Centre
Form Number: AWFA 14A
$100 Bond paid on: ____________
Seasons:
- Competitions run all year round dependant on sufficient registrations.
- Summer season runs October – March, Winter season April – September.
Nomination:
- To nominate a team, a Nomination Form must be completed and returned to AWFA with $100 Team Bond. ($100 Team
Bond is held by AWFA to cover costs in the event of a team failing to attend a scheduled game). In the event part of the
Bond is used, teams must restore their bond to the full $100 prior to playing any further game. Un-used Bonds will be
returned to teams at the end of the season.
Registration:
- All players need to register. Registration is through the FFA “MyFootballClub” online system
- Each player’s registration expires 30th September each year, and all players must re-register as of October 1st.
Registration Fees:
- Senior (turning 19 or older in 2011) = $50.00 – 12 month rego
- Junior (turning 18 or younger in 2011) = $35.00 – 12 month rego
- At the present time players are NOT required to provide a passport sized photo with registration.
Team Fees:
- Game Fees at the Lauren Jackson Sports Centre are $50 per Game.
- Game Fees must be paid to the Sports Centre by the Team Captain/Manager prior to the team taking the field.
Playing Rules:
- All team managers nominating teams must ensure they read and abide by AWFA Futsal Handbook. Failure to abide by
these terms will result in possible forfeiture of fees and or team/player withdrawal from the competition.
Team Captain/Manager Name (Please print)_________________________________ Date____________________
Team Captain/Manager Signature _________________________________
For more information contact:
AWFA Admin, Karen (6021 4155) between 11am – 2pm or Rick (0413 583 477)
EMAIL: [email protected] FAX: (02) 6021 0454
Form Number: AWFA 14A