824 5-A-Side Football League Entry FormPlease enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Phone NumberEmail *Are you the team captain/ manager?YesNoTeam Captain DetailsCaptain/ Manager's Name *FirstLastCaptain/ Manager's Phone Number *Vice Captain/ Assistant Manager's Name *FirstLastVice Captain/ Assistant Manager's Phone Number *Team DetailsTeam name *Shirt colour *- Please select -WhiteYellowRedBlackBlueNavyClaretBlackMaroonGreenGoldSky BlueOtherIf other, please specifyPlayer DetailsHow many players are registered? *- Please select -5678910Player 1 name *FirstLastPlayer 1 position *- Please select -AttackerDefenderGoalkeeperPlayer 2 name *FirstLastPlayer 2 position *- Please select -AttackerDefenderGoalkeeperPlayer 3 name *FirstLastPlayer 3 position *- Please select -AttackerDefenderGoalkeeperPlayer 4 name *FirstLastPlayer 4 position *- Please select -AttackerDefenderGoalkeeperPlayer 5 name *FirstLastPlayer 5 position *- Please select -AttackerDefenderGoalkeeperPlayer 6 name *FirstLastPlayer 6 position *- Please select -AttackerDefenderGoalkeeperPlayer 7 name *FirstLastPlayer 7 position *- Please select -AttackerDefenderGoalkeeperPlayer 8 name *FirstLastPlayer 8 position *- Please select -AttackerDefenderGoalkeeperPlayer 9 name *FirstLastPlayer 9 position *- Please select -AttackerDefenderGoalkeeperPlayer 10 name *FirstLastPlayer 10 position *- Please select -AttackerDefenderGoalkeeperTeam FeesWe will take your entry fee and first match fee when we confirm your registration. Each subsequent match will incur a fee of $10, payable 7 days in advance.Entry FeePrice: $ 10.00First Match FeePrice: $ 10.00Total Payable on Registration$ 0.00Submit
