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Individual Player Registration Form

Thank you for your interest in registering. Please fill out the following form. The more accurately you fill out this form the easier it will be for us to find a team that suits your requirements.

Fields with a red asterisk (*) are mandatory.

Personal Information
First Name :
Last Name :
Gender :
DOB : (dd/mm/yyyy)
Email Address :
Password :
Confirm password :
Mobile Phone : (Numbers only)
Home Phone :
Work Phone :
Address Line 1 :
Address Line 2 :
Postcode :
Futsal Information
Are you a Futsal player?