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Contact Us - Registration
 

To register, please fill in the details below, then "Submit".

Note: You can step through the input fields using the "[Shift-] Tab" key.

Parent/Guardian
First Name:  
Last Name:
Address:
Suburb:
Postcode:
Mobile Phone:
Home Phone:
Business Phone:
Email:
_________
Player 1
First Name:
Initial:
Last Name:
Gender: Male:      Female:
Date of Birth:
Medical Conditions:
_________
Player 2
First Name:
Initial:
Last Name:
Gender: Male:     Female:
Date of Birth:
Medical Conditions:
_________
Player 3
First Name:
Initial:    

Last Name:  
Gender:   Male:     Female:
Data of Birth:  
Medical Conditions:
_________

Any oher information you want us to know?

  
Payment Type Cash:     Cheque:     Electronic Transfer:

 

Please send cheques to the postal address below.

Electronic Transfer (include player's name & age group in the reference):

or ring Edith on 9589 7706 to make alternate payment arrangements.

For 2 or more players registering, a 10% discount applies.

For Seniors Payments contact John Stewart.

GOALKICK ($90 per season)

 

SUB-JUNIOR age group ($200 per season)

U/7 - born in 2001
U/8 - born in 2000     U/9 - born in 1999   U/10 - born in 1998

U/11 - U/18 age group ($240 per season)

U/11 - born in 1997 U/12 - born in 1996 U/13 - born 1995     U/14 - born 1994     U/15 - born 1993      U/16 - born 1992     U/18 - born 1990
Seniors ($300 per season) - born Long Ago :)

POSTAL ADDRESS

P O Box 7336
Beaumaris
Vic 3193
  

Football Federation Victoria
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