Futsal World Cup Carnival Day
Registration form
Coach information
Person responsible for team
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Team name
*
Team color
*
Competition
*
Girls only
Boys only
Mixed
Age group
*
Please Select
U8
U9
U10
U11
U12
U13
U14
U15
U16
Player details (save after entering each player)
*
Has any player been identified as living with a disability?
*
Yes
No
Which player
*
Please specify
*
My Products
*
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next
( X )
Player registration
Please buy a ticket for each registered player
$
10.00
AUD
Quantity
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit registration
Should be Empty: