Football 4 All Gala Day - 2016 (Football NSW)

Nova Employment football4all Gala day 2017 - Sunday 25th June
Individual player registration form
Football NSW will be hosting its ninth football4all Gala Day on Sunday 25th June, 2017 at Valentine Sports Park, 235-257 Meurants Ln, Glenwood, NSW, 2768.

The day will run from 9am to 3pm.

The below nomination form is for individuals that wish to take part in the football4all Gala Day that ARE NOT part of a currennt Football4All program.

Please complete by Friday 2nd June 2017.

If you wish to enter a TEAM into the football4All Gala day please register HERE
Please select your FOOTBALL4ALL program*
Other - please state club/group
Please nominate the category which best suits the participant.

We will try our best to fit individuals with others of similar age groups and ability level based on the below questions.

The below categories are only to be used as a general guide and may not be strictly adhered to as the aim of this gala day is to provide a fun football experience for as many of our members as possible.

If you have any queries please contact demelzah@footballnsw.com.au - (02) 8814 4465

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Please Select ONE of the following Categories*

Category 1 (Age 5-9)Category 2 (Age 10-14)Category 3 (Age 15-20)Category 4 (Age 21+)
Please select ONE of the following ability level*

IntellectualSensoryPhysicalCerebral Palsy, Acquired Brain Injury or StrokePowerchair
Please provide any additional information that may assist FNSW.
Please provide participants details below
Name:*

First NameLast Name
Email:*
Postcode:*
Please provide emergency contact details of a parent/guardian/carer present on the day of the football4all gala day 2017.
Emergency Contact:*

First NameLast Name
Emergency Phone Number*
Mobile or Home Number
Emergency E-mail:*
Football NSW and approved media outlets will be filming various games and presentations at this event.

Approved photoraphers from FNSW and local media may also be in attendance.

To ensure compliance with State Ward regulations please notify Football NSW of any Wards of the State participating in this event.
Is the participant a Ward of the State?

YesNo
I agree to the above information
If you have any queries please contact Demelza Howard - demelzah@footballnsw.com.au - (02) 8814 4465
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Nova Employment football4all Gala day 2017 - Sunday 25th June

Individual player registration form