team nomination form

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PENINSULA FUTSAL CLUB: TEAM NOMINATION FORM
(Please email completed form to [email protected])
AGE
GROUP:
TEAM NAME:
COACH NAME:
PH:
EMAIL:
MANAGER NAME:
PH:
EMAIL:
GIVEN NAME
SURNAME
DOB
ADDRESS
P/C
PH/MOBILE
EMAIL
1
2
3
4
5
6
7
8
9
10
For enquiries, Email: [email protected] or Phone: 0417 748 465 (Andrew English)
$45 Team Nomination Fee is payable at time of nominating team. Fee is to secure your spot in the competition and goes towards
season running costs. Fees can be paid via direct deposit using the bank details located on our website registration page.
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