Name *

First Name

Last Name

Phone *

(###)

###

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Which competition to play? *

Please select multiple if you are flexible with your availability. We will assume you want to play in 1 of these. If you want to play multiple, please comment below.

Sunday Carlton Mens

Footscray Tuesday Mens

Futsal 4 Life - Code of Futsal Good Times * *

I agree to live by the code.

Futsal payment terms & conditions *

I agree that to participate I must make payment through the payment button after this rego form is submitted. I agree that a refund is only available if a team cannot be created and I don't have an option to play with Futsal 4 Life.

I agree to the Futsal 4 Life payment terms and conditions

I don't agree to the Futsal 4 Life payment terms and conditions.