Player Pre Registration Form Step 1 of 6 16% 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. Your DetailsFirst Name* Last Name* Street Address* Suburb* State*Western AustraliaPost Code* Phone* Email* Enter Email Confirm Email Which Team are you registering for?* Junior Fee Free Football Non State League Player + Junior Fee Free Football State League Men State League Women Amateur Women Masters Men Metro Men How would you like to pay your fees?* Credit Card At the club Direct Deposit to Bank Account Do you have a Concession or Health Care card?* Yes No How many children (under the age of 18) will you be registering?*123Please note that the registered Junior is required to be an immediate family member. For example, your child or grandchild only. Child's DetailsFirst Name* Last Name* Date of Birth* DD dash MM dash YYYY Sex*MaleFemaleHas the child played football before?*YesNoClub name* Please provide the name of the club where your child played previouslyFFA Number (if known) Please let us know your Child's FFA numberPreferred Team Position (optional) Please let us know your Child's preferred on field team position.Second Child's DetailsFirst Name* Last Name* Date of Birth* DD dash MM dash YYYY Sex*MaleFemaleHas the child played football before?YesNoClub name* Please provide the name of the club where your child played previouslyFFA Number (if known) Please let us know your Child's FFA numberPreferred Team Position (optional) Please let us know your Child's prefer on field team position.Third Child's DetailsFirst Name* Last Name* Date of Birth* DD dash MM dash YYYY Sex*MaleFemaleHas the child played football before?*YesNoClub name* Please provide the name of the club where your child played previouslyFFA Number (if known) Please let us know your Child's FFA numberPreferred Team Position (optional) Please let us know your Child's preferred on field team position. Volunteering ActivitiesPlease 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* Cardholder Name Card Details Bank DetailsYou have selected to pay your registration fee using Direct Deposit. Please deposit your fees to: Bank: BankWest Account number: 4152321 BSB: 306096