Manning Futsal Winter 2024 Team Nomination

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SUMMER competition team nomination form.

PLEASE READ ALL CAREFULLY

PLEASE FILL OUT A NEW FORM PER TEAM

A min. of 6 players are needed to submit a team.

NO ENTRY FEE REQUIRED.

Competition commences at Saxby’s Stadium Taree on Wednesday 11th of October. Final Series will commence March 2024. Team captains will be contacted with round 1 details.

Match Fees: NONE

Minimum Age: Senior players must have turned fifteen (15) for males and fourteen (14) females prior to commencement of the competition

Mixed Competition Only – All players (male and female) must have turned fifteen (15) years prior to commencement of competition

All players younger than 18 years of age must have Parent / Guardian signature on an official registration form. Proof of date of birth to be sighted eg: birth certificate.

Maximum Ten (10) players registered per team. Mixed Competition only – twelve (12) players registered per team. (Maximum 10 Players only per game)

Captain/Contact: Each team must nominate a Captain / Manager (ALL contact details to be completed below). Captain / Manager is responsible for providing team members with copies of the draw, competition rules, code of conduct and ensures all players comply. Copy of the Rules and Code of Conduct will be provided at time of nomination.

Each player must have a LARGE, VISIBLE NUMBER ON HIS/HER SHIRT. Shirts must have sleeves (No singlets). All players must wear shin pads and non marking shoes (eg: joggers). Soccer boots are not permitted. Jewellery and piercing not permitted as per Laws of the Game.

In the event of injury, please advise organisers immediately for insurance purposes. Injury report forms available from Competition Manager.

For our Junior Teams, please note that we are required to comply with Working With Children Check laws (WWCC). The team contact / manager will need to provide their WWCC Number in the form below. The team contact / manager will need to provide their WWCC Number or exemption reason in the form below. The most common exemption reason is that the adult has a child or close relative in the team they are involved with.

https://www.kidsguardian.nsw.gov.au/child-safe-organisations/working-with-children-check

For further information please contact Competition Manager, Narrelle Dennes 0412608800 or President James Goldsmith 0401940558

Email *

Team Name *

Team Contact First Name *

Team Contact Middle Name (Put "NA" if non existent) *

Team Contact Last Name *

Contact Number *

Junior Team Contacts ONLY

To comply with WWCC

Team Contact/Manager Date of Birth

YYYY

WWCC Number

WWCC Exemption

Please select which competition the team will be competing in.

Each form must be completed per team. Please be sure to check DoB years as per the listed years for each age.

Wednesday Comp (Saxby's Stadium)

7/8's (Born 2016, 17, 18)

9/10's (Born 2014, 15, 16)

11/12's (Born 2012, 13, 14)

13/14's (Born 2010, 11, 12)

Men's A

Men's B

Open Mixed A/B

Clear selection

Thursday Comp (PCYC Taree)

Women's A

Women's B

Clear selection

Player 1 *

Player 1 Date of Birth *

YYYY

Player 2 *

Player 2 Date of Birth *

YYYY

Player 3 *

Player 3 Date of Birth *

YYYY

Player 4 *

Player 4 Date of birth *

YYYY

Player 5 *

Player 5 Date of Birth *

YYYY

Player 6

Player 6 Date of Birth

YYYY

Player 7

Player 7 Date of Birth

YYYY

Player 8

Player 8 Date of Birth

YYYY

Player 9

Player 9 Date of Birth

YYYY

Player 10

Player 10 Date of birth

YYYY

Player 11 (Mixed only)

Player 11 (Mixed only) Date of Birth

YYYY

Player 12 (Mixed only)

Player 12 (Mixed only) Date of Birth

YYYY

A copy of your responses will be emailed to the address you provided.

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