6 A-SIDE LEAGUE

EXPRESS YOUR INTEREST FOR FUTURE LEAGUES

Are you registering as a single player or as part of a team? *

Single Player (Find me a team)

Team (Already have a team)

If entering as a team, please let us know the team name. (If not sure of team name, please put TBA and we will contact you later to find this out)

Please let us know team jersey theme or colour you'd like to wear.

Registered Player First name

Registered Player Last name

Registered Player DOB * required

Any medical information / special conditions that we need to be aware of for the registered player?

Please highlight the registered players skill level. *

Beginner (First time playing, played for less than 1 year)

Intermediate (Playing at club level for 2-3 years)

Advanced (Playing 3+ years at club level and doing additional weekly training sessions)

Does the registered player currently play for a club? *

Yes

Please highlight the club and division of the registered player.

Parent/Guardian First Name

Parent Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone

What is your address?

As the parent or guardian of the registered player. Would you like to be a team manager? *

Yes

Please provide emergency contact details.

Any additional comments you'd like to include that we need to know?

By checking this box, you agree to our code of conduct, and terms and conditions.Read here

Thanks for submitting! We'll be in touch with details for our next league.

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