EmailMe Form - Five a Side team nomination form

Team Status *

Returning Team

New Team

Team Name (subject to availability) *

Managers Details (This will be the main contact for correspondence for this team) *

First Last

Email *

Phone *

Preferred Playing Night *

All players must be Fraternity Club Members and must be CURRENT 2020 registered 5 a side players to participate in any 5 a side season competition. TEAM PLAYER DETAILS:

	First Name	Surname	D.O.B	Email	Phone number	Fraternity Club member number	FFA number	Club played for in Winter 2020
Player 1
Player 2
Player 3
Player 4
Player 5
Player 6
Player 7
Player 8
Player 9
Player 10

5 A Side Player registration is $130 per player and must be PAID IN FULL AS A TEAM, prior to season start. There will be no other match fees charged per game. *

Direct Bank Transfer : IMB BSB:641-800 ACCOUNT NO : 200744102 REF : TEAM NAME

Credit card via phone 0242856929.

In Person at the FSC Office

Payment must be made in full prior to COB Thursday 3 September in order to secure your team's position in the competition.