Futsal Entry

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DateTime

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This form contains: Key info; Choose your league; Conditions of entry; Team details; Payment details/team entry

ENTRY FORM FUTSAL SEASON 2, 2020

KEY INFO:

Game times (PM) 6:00, 6:40, 7:20, 8:00, 8:40, 9:20.
Venue: Somerville House sports hall.
Fees: $1050 per team for 12 match season all inclusive ($300 with entry, and balance by week 3 of season)

Tuesday Mens: Starts 18 August
Wednesday Mixed: Starts 19 August
Wednesday Mens: Starts 19 August
Thursday Mixed: Starts 20 August

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.

Tue Men

Wed Mixed

Wed Mens

Thurs Mixed

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Proposed Team Colour(s)* This field is required.Team colours are subject to availability. You'll be contacted if another team already has your colours. Note: Plain Black is NOT available

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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)