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2020 Summer Months **PreSeason** Competition (Late January - End March)Single 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.
Each player should register themselves using this form.For those players who are a part of a pre-organised team, 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.If you don’t have a team, just leave the appropriate fields 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.You are able to claim your NSW Active Kids Voucher rebate through FootballSSG however, we are not yet automated therefore doing so is a manual process that we will go through in February. To register you will need to complete the form and make full payment now, we will email all players in February to collect their Voucher details for processing.Please note that incomplete 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
INFORMATION ABOUT THE PERSON COMPLETING THIS FORM (MUST BE AGED 18 YEARS OR OLDER)
All fields in blue text arerequired.
VENUE & 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
CONFIRMATION OF AGE GROUP AND PAYMENT
BE SURE TO SELECT THE CORRECT REGISTRATION FEE BELOW
If you were a registered FootballSSG player in the Spring 2019 competition playing at Curl Curl or
at Rat Park and you will be wearing the FootballSSG playing kit supplied for that Spring 2019 competition,
you receive a $30 discount on the Summer Months competition registration fee.
If you were a registered FootballSSG player in the Spring 2019 competition played at Curl Curl or at
Rat Park but you need to buy a new kit to match your Summer team, these are available to purchase for $20.
Kits include jersey, shorts and socks and will be available to purchase and collect between 13th - 20th January.
If you were not registered to play in FootballSSG's Spring 2019 competitions at Curl Curl or at Rat Park you
must pay the full registration fee which includes the cost of player insurances and the FootballSSG playing
kit, supplied as a part of your registration.
All players must wear the correct FootballSSG-provided playing kit ... NO EXCEPTIONS ... no kit means no play.
BE SURE TO SELECT THE CORRECT REGISTRATION FEE.
If you select the lesser registration fee but WERE NOT a registered FootballSSG player in the Spring 2019 competition,
your application WILL NOT be processed, you will DEFINITELY NOT be permitted to play in the first game of the season
and you WILL NOT be permitted to play until one full week after the outstanding balance has been paid
(as we will then need to process you and get you insured).
Reconfirm the age group you are applying for and the registration fee
- - - - - - - - Select one - - - - - - - -
If you WERE NOT registered to play FootballSSG at Rat Park or Curl Curl in Spring 2019
U6 to U8 player - $160
U9 to U14 player - $175
U17, Open Age or O35 - $190
If you WERE registered and played FootballSSG at Rat Park or Curl Curl in Spring 2019
U6 to U8 player - $130
U9 to U14 player - $145
U17, Open Age or O35 player - $160
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 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.
SUBMISSION OF REGISTRATION APPLICATION
Press 'Reload Image' at least once and then enter the NEW NUMBERS you see.It's very important that you enter the new numbers carefully because the form will be erased if you enter them incorrectly.If you happen to get any error messages, make sure you 'reload' and re-enter the new numbers immediately before pressing the Submit button, so that your form does not get erased.
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.