Senior Mixed - Winter 2024 Registration Form

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This form is to register to the Pakenham Floorball Club (PFC) Senior Mixed Competition for Winter 2024.
As this competition is organised and run by the PFC the committee hold the right to allocate and swap players in teams to continue to support a healthy and fair competition.

Season dates:

18th April - 19th Sept (including finals, excluding ANZAC Day)

Season fees:

The fee for this competition is set to cover costs incurred by the PFC in the running of this competition. In order to keep costs to a minimum, fees are finalised once indicative numbers have registered, but are anticipated to be set around $220 per player.

PLEASE NOTE that PFC membership is required in addition to completing this season registration. This annual membership covers players under Floorball Australia Ltd Insurance. Additional fees apply.

IF YOUR MEMBERSHIP IS NO LONGER CURRENT you will be required to renew.

For PFC membership FAQ: https://www.pakenhamfloorball.org.au/registration/pfc-membership-qa/

Email *

First Name *

Surname *

Date of Birth *

YYYY

Phone Number *

Are you a PFC member? *

Yes

Division *

Div 2 - Beginner to Intermediate; Div 1 - Intermediate to Advanced

Div 1

Div 2

Team name *

Your captain will provide you with your team name

Are you the Team Captain? *

Yes

Shirt Colour

Needs to be supplied by Round 1

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