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