Futsal Entry

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DateTime

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KEY INFO:

Game times (PM) 6:00, 6:40, 7:20, 8:00, 8:40, 9:20.
Venue: South Bank TAFE (Mon/Tue), Somerville House (Wed/Thur)
Fees: $1070 per team for 12 match season all inclusive ($300 initial payment, and final balance due by week 3 of season)
Leagues:
- Mon Men (Entries close 2 June*, Start 14 June)
- Mon Mixed (Entries close 2 June*, Start 14 June)
- Tue Men (Entries close 25 May*, start 8 June)
- Wed Mixed (Entries close 15 May*, Start 26 May)
- Thurs Mixed (Entries close 16 May*, Start 27 May)

(*Places may fill up earlier)

Availability is strictly limited! Enter today so you don't miss out!

Questions? 0407 154 842

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CONDITIONS (You agree to these conditions when you enter your team)

Players participate at their own risk.
ALL players must comply with the Scoreline Sports rules, procedures and Code of Conduct.
Scoreline Sports reserves the right to vary game dates to complete the games.
All teams must comply with uniform and equipment regulations. Futsal uniform and equipment regulations: Non-marking sports shoes, long football socks, approved shinguards, matching shirts
Participation is conditional on payment of team fees. Failure to pay team fees by the due date may result in forfeiture of matches or exclusion from the remainder of the season.
ALL players agree to the player agreement on the team registration sheet, which is worded as follows:

PLAYER AGREEMENT: (1) I warrant that I am in a state of health and fitness to the levels required to compete in this sporting competition, and have no reason to expect any medical complications arising from my participation. (2) In case of injury, accident or illness, I authorise representatives of Scoreline Sports to obtain medical assistance for me, and I agree to pay any costs incurred as a result. (3) I hereby grant Scoreline Sports the right to use any picture or likeness of me recorded during the competition, for promotional purposes. (4) I agree that I will play in a fair and sporting manner, and abide by rules of play, venue regulations, Scoreline Sports Code of Conduct and directions given by match officials. (5) I acknowledge that if I breach section 4, Scoreline Sports reserves the right to take any action they deem appropriate, which may include my expulsion from the competition (Fees not refundable) .

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Choose Your League* This field is required.Select your preferred league. (Please note: Mondays & Tuesdays are at South Bank TAFE, while Wednesdays & Thursdays are at Somerville House sports hall - both venues located next to South Bank)

Mon Mixed

Mon Mens

Tue Men

Wed Mixed

Thurs Mixed

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Team Name* This field is required.Fearsome or funny, give your team a name. But don't over-think it...we can change it for you later.

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Contact 1* This field is required.Who's the Boss?

First Name

Last Name

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Email* This field is required.

example@example.com

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Contact 1 Mobile* This field is required.

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Contact 2* This field is required.In case No. 1 is away playing for Australia, we need a backup.

First Name

Last Name

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Contact 2 Email* This field is required.

example@example.com

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Contact 2 Mobile* This field is required.

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Is this an employer-sponsored team?* This field is required.

NO (Fees paid by players)

YES (Fees paid by employer/sponsor)

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Corporate Team Payments

Corporate teams may secure a place in the comp, and pay on the invoice received automatically after submitting this form (subject to supplying authorization details).

Preferred payment method is EFT (as per details on invoice); if your company needs to make other payment arrangements, please contact us.

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Company Name:* This field is required.

(To appear on invoice)

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Authorized by:* This field is required.

First Name

Last Name

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Company Address* This field is required.

(To appear on invoice)

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Email for Accounts Payable

example@example.com (copy will also go to Team contact 1)

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Total Amount Payable: $1050.00

Minimum deposit: $300 (balance of fees due by 3rd week of competition)

Entry will not be processed until your minimum deposit is received.

EFT Payment or Bank Deposit to:
Scoreline Sports Pty Ltd, Bendigo Bank, BSB 633000, Account No: 158301622 IMPORTANT: Enter your TEAM NAME in the reference line for EFT or deposits.

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Amount Paid ($)* This field is required.Payment to Scoreline Sports Pty Ltd, BSB 633000, Account 158301622

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Payment Date* This field is required.

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Invoice number: (F)