2015 SUMMER SOCCER PLAYER APPLICATION FORM Please complete the form below to register as a player for the 2015 summer soccer competition. NAME: ________________________________________________________________________ FFA NUMBER: ___________________________________________________________________ PLAYER REGISTER DURING 2015 WINTER SEASON? YES / NO CONTACT NUMBER: ______________________________________________________________ CONTACT EMAIL: ________________________________________________________________ AGE GROUP: ____________________________________________________________________ TEAM REGISTERING FOR: __________________________________________________________ DECLARATION Please ensure you read the declaration below in full prior to signing. I ________________________________, parent / guardian of the above player agree to abide by the codes of conduct as set out by the BDSFA and FNSW. I also acknowledge that any injury sustained during participation of summer soccer is at our own risk. PARENT / GUARDIAN PRINT: ________________________________________________________ PARENT / GUARDIAN SIGN: ________________________________________________________ DATE: _______________________________________________________ [email protected] HOME GROUND | Jonas Bradley Oval, The Pond Blvd, The Ponds NSW 2769 POSTAL ADDRESS | PO Box 184 Stanhope Gardens NSW 2768