Regional School Futsal Titles

Welcome to the 2021 Chantelle Cramb Cup Events Entry Form. Please fill in all fields marked with an *. Incomplete entries may not be processed and or delayed.

Contact Details:

Please input your school and contact details below.

School:*

School Contact Teacher:*

School Postal Address:*

Suburb:*

Postcode:*

State:*

School Phone Number:*

Mobile Phone Number:*

Email Address:*

Additional Email Address to receive all information:

TEAM ENTRY SELECTION:

Please indicate the amount of teams you wish to enter by placing the number in the fields below.

15 Boys*

(Born 2006)

15 Girls*

(Born 2006)

19 Boys*

(Born 02 - 04)

19 Girls*

(Born 02-04)

Optional Player Insurance:*

$6.60 Per Player

QTY

Additional Notes:*

Accounts Payable Email Address:*

For invoicing purposes. This email address MUST be different from teacher contact email.

Terms & Conditions:

By submitting this entry into the 2021 Regional School Futsal Titles you therefore abide by the Australian Futsal Association Rules and Regulations as stated in the 2021 School Futsal Tournament Regulation Booklet. This booklet can be downloaded at www.schoolfutsal.com. It will also be available at all tournaments and can be sent out via mail upon request.

You understand that draws and all subsequent information is subject to change up until 5pm on the day before your nominated school titles. All schools must be available to play between the set hours for each tournament unless a written email request has been submitted.

You also agree that should you remove any team from a competition after a draw has been released you will be subject to a withdrawal fee of 50% per team withdrawn.

I Agree T & C's:*

Yes

I Agree Media:*

YesNo

Coaches and Team Officials are prohibited from wearing uniforms that identify them as members of or advertise private futsal clubs, programs or academies that are not affiliated with Australian Futsal Association.

The distribution of marketing materials is not allowed with the written approval of the Australian Futsal Association during all tournaments and events.

INVOCIED?

Payment Details

Receipt