2015 Woden Valley Lightning Tournament

Transcription

2015 Woden Valley Lightning Tournament
2015 Woden Valley Lightning Tournament
2015 LIGHTNING TOURNAMENT
11 t h April: Boys U10-11 and Girls U10-17
12 t h April: Boys U12-18
Team Registration Form
Contact: Anna Slavich 0403 363 353, Email: [email protected]
Read carefully before proceeding……
*Indicates
is mandatory
A separate registration form is required for each team.
This form must NOT be used for registering individual players.
Team registration requires you to provide an online internet banking payment receipt
number as evidence of your payment.
To do this you will need to:
1. calculate your payment amount for the number of players in your team
2. make payment to our account
Once you have completed this form and made payment, notify us of your payment.
Team Details
*Club being represented:
*Name of Team:
*Age Division:
*Boys (B) or Girls (G):
Age division is based on players’ ages as per CF competition rules eg. turning 13 in 2015 = u13
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2015 Woden Valley Lightning Tournament
Contact Information
Name of Coach:
*Name of Manager:
Phone (AH):
*Phone (AH):
Phone (BH):
Phone (BH):
Phone (Mob):
*Phone (Mob):
E-Mail:
*E-Mail:
Player Details
Important points to simplify the registration process:
1. Use the form on page 4 to list the players in your team.
2. Email your team list as soon as available with all details completed.
3. Bring a Player Consent Form signed by a parent or guardian for each player –
a copy of this form is available for you to distribute to parents or guardians.
4. Hand in the consent forms to the registration desk on match day.
Payment Calculation
Please make your best estimate on how many players you expect to have on your
match day – additional payment and refunds can be dealt with on registration day.
Number of players: u10-11
(Min 9 Max 14):
Number of players: u12-u18
(Min 11 Max 16):
* Number of players x $35
* Number of players requiring
insurance
A:
$
(Min 0 Max 16)
(if none required please enter zero)
* Number of players requiring
insurance multiplied by $12
B:
$
=A+B
$
(if none required please enter zero)
* Total of registration and insurance
fees
This is your amount payable
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2015 Woden Valley Lightning Tournament
Payment Arrangements
STEP 1
Use your internet banking facility to transfer the total amount:
Bank:
Bendigo Bank - Curtin
BSB:
633 000
Account Number:
153 590 724
Account Name:
Woden Weston Football Club
STEP 2
Enter the following
Date processed:
Reference or Transaction number
Please email your receipt to [email protected]
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2015 Woden Valley Lightning Tournament
Team List
Club:
Team:
Age Division:
Boys (B) or Girls (G):
Last Name
First Name
Date of
Birth
FFA Number or Unregistered
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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