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Spring 2022 Season - Player Registration Application Form
This form is for registering and paying for one player to play FootballSSG.Use this form if you are a part of a pre-organised team OR if you are a single player that doesn’t yet have a team and would like us to find one for you.
Players in pre-organised teams that are registering and paying for themselves individually should use this form. So long as each player fills in the same details under the Venue & Age Group Information on this form, the team will be formed automatically.The "team" form (which you might have previously used to register and pay for all the players in your team) is not being used this season as we need each individual that registers to have read and understood the extraorindary and important information, below, relating to COVID.If you don’t have a team and would like us to try to find one for you, just leave the appropriate fields ("Team Name" and "Manager Name") unchanged and we’ll do our best to place you in one.Prior to commencing the registration application, please ensure that you have all the required information. Please note that incomplete or unpaid applications can not and will not be processed.All fields in blue text are required.By completing the registration application you are acknowledging that you have read and agree to abide by and be governed by the FootballSSG Playing Rules.
DO YOU HAVE ALL THE REQUIRED INFORMATION TO CONTINUE?The following information is required for all player applications - Player’s full name (given name and family name) - Player’s full residential address (no PO boxes please) - Player’s home telephone number - Best email address for correspondence to the player - Best mobile phone for communications to the player - Player’s correct date of birth - Name of Club, age group, division and year last playedPlus the following information about a Guardian or Emergency Contact is required for all players - Guardian’s or Emergency Contact’s full name - Guardian’s or Emergency Contact’s address - Guardian’s or Emergency Contact’s telephone number - Guardian’s or Emergency Contact’s email addresses
EXTRAORINDARY AND IMPORTANT INFORMATION RELATING TO COVID-19
The experiences from around the world since early 2020 show that the gathering of people in ANY environment brings with it the risk of possibility of exposure to and illness from contagious diseases including but not limited to COVID-19.
By choosing register:
- you are acknowledging that FootballSSG is played at venues that are publicly accessible at most/all times and that FootballSSG has no control over that access;
- you are acknowledging that FootballSSG has no practicable means to know if an infected person is in attendance;
- you are acknowledging and agreeing that FootballSSG will be doing everything required by the government authorities to help keep everyone safe which, though highly unlikely, may even include the cancellation of games or the cancellation of the season;
- you are acknowledging that FootballSSG, which is not-for-profit, has to commit to paying significant expenses to prepare for, organise and run the competition each season and you are acknowledging that your registration fees are calculated to cover those costs;
- you are agreeing that, if a game or the season is cancelled as a result of COVID-19, FootballSSG will need time to determine whether any refund can be provided and you are acknowledging your understanding that any such refund will be insignificant when compared with the registration fees you have paid; and
- you are agreeing to release, indemnify and hold harmless FootballSSG, its officers, members, servants and insurers against any claim and compensation for any loss or injury resulting in any way from or relating in any way to COVID-19.
It is your choice to register, to attend and to participate and you do so of your own free will.
INFORMATION ABOUT THE PERSON COMPLETING THIS FORM (MUST BE AGED 18 YEARS OR OLDER)
All fields in blue text arerequired.
AGE GROUP INFORMATION
Which competition do you wish to play in ?
If you are joining a pre-organised team,write the name of the team here.
If you are joining a pre-organised team,write the name of the team's manager here.
Only complete these two fields if you are joining a team that is pre-organised. This will help us to process your application quickly.
Date of birth (dd/mm/yy)
Year last played
Club last played
Age group last played
Division last played
Mother/Guardian # 1
(or Emergency Contact for Over 18’s)
Father/Guardian # 2
REDEEM AN ACTIVE KIDS VOUCHER
Active Kids Voucher DetailsNote that vouchers can be used by you only once and cannot be refunded or transferred
CONFIRMATION OF AGE GROUP AND PAYMENT
Reconfirm the age group you are applying for
- - - - - - - - Select one - - - - - - - -
Under 6 to Under 8 .... $235 per player
Under 9 to Under 14 .... $245 per player
Under 17, Open Age or Over 35 .... $255 per player
DECLARATION & SUBMISSION OF REGISTRATION APPLICATION
I warrant that all of the above information is true and correct. I warrant that the applicant player is not currently serving a suspension from play in any Football NSW or Football Federation of Australia affiliated competition. I warrant that the applicant player (and where the applicant player is aged under 18 years, the applicant player’s parent/s or legal guardian/s) has read and agrees to abide by and be governed by the FootballSSG Playing Rules (click to this link to download and save a copy for future reference) and hereby releases and indemnifies FootballSSG, its officers, members and servants against any claim and compensation for any loss or injury sustained during any activity of FootballSSG and I acknowledge and agree that any claim for loss or injury will be a matter determined between the player applicant and the relevant insurance company. I warrant that the applicant player (and where the applicant player is aged under 18 years, the applicant player’s parent/s or legal guardian/s) has read and understood the level of participant insurance cover offered through FootballSSG‘s insurance policy and, if they believe this cover is inadequate for their particular circumstances, that they acknowledge and agree to organise any additional insurances themselves. I warrant that the applicant player grants FootballSSG, its officers, members and servants the right to obtain medical care for the applicant player from any qualified person should the need arise in a case when the applicant player’s legal guardians are not immediately available to grant authorisation. I warrant that the applicant player agrees to pay all medical expenses involved in such a case. I warrant that the applicant player acknowledges and agrees that cancellation of the applicant player’s application or subsequent registration may, at FootballSSG’s absolute discretion, result in the forfeiture of the applicant player’s entire registration fee and at minimum 70% of the applicant player’s registration fee. I warrant that I have read and understood the statement on this web page in reference to the COVID-19 pandemic under the heading EXTRAORINDARY AND IMPORTANT INFORMATION RELATING TO COVID-19 and that I choose to register and, in so doing, I release, indemnify and hold harmless FootballSSG, its officers, members, servants and insurers against any claim and compensation for any loss or injury resulting in any way from or relating in any way to COVID-19. I warrant that the applicant player agrees to FootballSSG using the applicant player’s name and image in the promotion and marketing of FootballSSG, its events and competitions and the commercial relationships that may be entered into in connection with such events and competitions.
By pressing the “Submit Application” button (below) you are making the above declaration.Once pressed, you will be automatically redirected to our PayPal site to make payment securely by credit card.You don’t need a PayPal account for this to work, but you will need to fill in one more short form for PayPal.
Redirection to PayPal may take 5-10 seconds, please only press the button ONCE.
If you are not redirected to PayPal, scroll up to the top of this page,any problems or errors will appear in bold red text (like this) at the top of the page.
Unpaid applications cannot be accepted and will not be processed. If you don’t have a credit card for payment,email Stuart to see what we can do to help.