Registration+Insurance Form
2016 Summer Competition
Which Summer 6 Football League centre would you like to attend? *
Nominate Division (Please tick one)

Team Details

Please note all players details are required for insurance purposes.

Shirt No. Shirt Size Player's First Name Player's Surname Date of Birth Email Address Mobile Signature*

Register in Person

Teams can register in person at our Kyeemagh location individually or as a team.

Where: Kyeemagh RSL Tancreed & Mutch ave Kyeemagh

When: Thrusday 4th August 2016 & Wednesday 31st August 2016

Time:700-800 PM

Conditions

Early bird nominations close 8th August and registrations close 31st August or earlier once we reach capacity.

We highly recommend everyone to register early to avoid disappointment.

Spaces in each centre are limited.

Team registrations and divisions will be filled in by a first in first serve basis.

Please note that team registrations are tentative until approved.

Teams must have minimum 8 players registered to be officially entered into the competition.

PAYMENT

IN PERSON at Kyeemagh RSL Club

Thursday 4th August 2016 &

Wednesday 31st August 2016

700-800 pm

EFT: Account name: Summer 6 Football League BSB: 082-140 ACC NO: 94 644 8703

PLEASE ENSURE ALL DETAILS ARE COMPLETE AND PAYMENT IS ENCLOSED. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED
Office use only
Date:
Amount:

Emailing or submitting your registration form to the organiser constitutes acceptance of/agreement with the above, with or without signature. I accept Summer6 Terms and Conditions.