SUFC MiniRoos Carnival Registration Form

Registration Date: _________________ 2015
SUFC Registration No: _____________________
SPRINGFIELD UNITED
FOOTBALL CLUB
MiniRoos Carnival Registration Form
Name of Club:
__________________________________________________
Team Name:
__________________________________________________
No. of Players in your Team:
_________
SSF Age Group:
U8
Grade (U9 – U11) Geckos / Goannas / Komodo Dragons
U9
U 10
U11
Team Leader:
Contact Name:
__________________________________________________
Mobile Number:
__________________________________________________
Email Address:
__________________________________________________
Payment Method: Please circle the applicable method
Cheque
Direct Deposit
Cash
EFTPOS
BSB: 064-087, Account No.: 1002-4778, Account Name: Springfield United Football Club,
Reference: "Club Name - Team Name"
Total Amount Payable (Number Registered Players x $10):
$_____________________________
Please read and sign form below.

We agree to abide by the Carnival Rules and Regulations and will advise my team and provide all Parents
with a copy of them.
Please send registration form and payment (if cheque) to:
The Secretary
Springfield United Football Club
PO Box 4401
Springfield, QLD 4300
Signed: ______________________________
Date: ______________________
Please note:

All nominations will be notified by email of your success to enter the carnival soon after nominations close
rd
on 3 April 2015, and we receive your nomination entry form and entry fee (for those paying by EFTPOS
on the day, you will receive email confirmation advising payment is still to be made).
Copy of draw, time guidelines for the day will follow or will be available at the registration table on the
morning of the carnival.
Springfield United Football Club would like to thank our sponsors for their support