Player Pre Registration Form

Welcome to Balga SC's Player Pre-Registration form.

This form is Part 1 of a 2 part registration process. It is to be used as part of the Balga SC player pre-registration.

This form will ask you to select your team and provide us with your details including payment details if you select Credit Card. For those registering Juniors, it will also ask for their full name, address, date of birth and contact details.

Do you have a Concession or Health Care card?*
- Yes
- No
How many children (under the age of 18) will you be registering?*
Please note that the registered Junior is required to be an immediate family member. For example, your child or grandchild only.
Child's Details
First Name*
Last Name*
Date of Birth*
Sex*
Has the child played football before?*
Club name*
Please provide the name of the club where your child played previously
FFA Number (if known)
Please let us know your Child's FFA number
Preferred Team Position (optional)
Please let us know your Child's preferred on field team position.
Second Child's Details
First Name*
Last Name*
Date of Birth*
Sex*
Has the child played football before?
Club name*
Please provide the name of the club where your child played previously
FFA Number (if known)
Please let us know your Child's FFA number
Preferred Team Position (optional)
Please let us know your Child's prefer on field team position.
Third Child's Details
First Name*
Last Name*
Date of Birth*
Sex*
Has the child played football before?*
Club name*
Please provide the name of the club where your child played previously
FFA Number (if known)
Please let us know your Child's FFA number
Preferred Team Position (optional)
Please let us know your Child's preferred on field team position.

Volunteering Activities
Please select the Group you wish to be part of.*
- Team group. This is made up of, Coaches, Assistant Coaches & Team Co-ordinators
- Club Group. This is made up of helpers in the administrative area, Eg helping others register their children, help coordinate fundraising efforts & help organise events through the year.
- Roster. Everyone who ticks this box will be placed into the roster for canteen duties, club cleaning duties.
Remember, volunteering is what makes FFF work. All of us helping to make sure our kids have fun.

Terms and Conditions
*
- I agree with the Balga SC Purchase Terms and Conditions.
*
- I give Balga SC permission to contact me with any club information and exclusive Balga SC sponsor offers.
Total Fee Payable
$ 0.00
Credit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Bank Details
You have selected to pay your registration fee using Direct Deposit. Please deposit your fees to:

Bank: BankWest
Account number: 4152321
BSB: 306096

Your Details