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Box Hill Action Indoor Sports
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BOX HILL INDOOR SPORTS CENTRE
FUNTECH PTY LTD ABN 44 007 413 498
3/9 Clarice Road Box Hill VIC 3128
Phone: 03 9890 7000 Facsmile: 03 9899 1776
Email: boxhill@actionindoorsports.com.au
Web: www.boxhillindoorsports.com.au
REGISTER YOUR TEAM: FUTSAL

Note: All fields marked with * are required.
1
Team Type: *
MIXED LADIES CORPORATE/EARLY
Skill or Game Level: *
   
Team Name: *  
Contact Name: * Phone (Work): Phone (Home):
Full Street Address: *
Postcode: *
Email Address: * Phone (Mobile): *
 
It is understood that the following conditions shall apply:
1. Game Fees are $90.00 (6-8 players) or $75.00 (5 players & loyalty voucher) (includes GST). To be paid on game night at reception.
2. All regular players must individually pay a $20 Registration Fee.
3. All players play at their own risk (no personal accident insurance is provided) and accept the Playing Conditions outlined in the stadium policy.
4. All teams are required to play some Sunday games.
5. Player Registration Details must be filled out with this registration form, see below.

 
SCHEDULING PREFERENCES
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SUNDAY
Number Preference Order from 1 to 6: *
 
10.20 AM
Rank all timeslots on each night with 1 being your best time
(Rank weeknights 1-6 & Sunday 1-12):
*

Note Your Division Game Days:
Open & Mixed: Mon-Fri & Sunday (All 6 days)
Corporate/Early: Mon-Thurs Only
Ladies: Tuesday & Sunday Only


11.00 / 11.40 AM
12.20 / 1.00 PM
1.40 / 2.20 PM
3.00 / 3.40 PM
4.20 / 5.00 PM
5.40 PM *Earlybird Times
6.20 PM # Early/Open Times
7.00 PM
7.40 / 8.20 PM
9.00 / 9.40 PM
10.20 PM
PLAYER REGISTRATION DETAILS
Player #1 Full Name: * Email: * Mobile: *
Full Street Address:
Postcode:
Player #2 Full Name: * Email: * Mobile: *
Full Street Address:
Postcode:
Player #3 Full Name: * Email: * Mobile: *
Full Street Address:
Postcode:
Player #4 Full Name: * Email: * Mobile: *
Full Street Address:
Postcode:
Player #5 Full Name: * Email: * Mobile: *
Full Street Address:
Postcode:
Player #6 Full Name: Email: Mobile:
Full Street Address:
Postcode:
Player #7 Full Name: Email: Mobile:
Full Street Address:
Postcode:
Player #8 Full Name: Email: Mobile:
Full Street Address:
Postcode:
 
Comments:
 
Team Data Entry:
Number of Players Experienced: Number of Players Inexperienced:
Previous Team Name:
How did you hear about us:
   
Note that a minimum of five (5) $20 player registration fees must be paid at the time of registering your team ($100).
Please note that Cash or Cheque payments can be made at the stadium, or Credit Card payments will be processed within 48 hours of submitting this registration form.

Method of Payment: *
CHEQUE CARD
Credit Card Number: (16 digits)
Expiry Date: /
Name on Card:

Terms
By submitting this form, I do hereby agree on behalf of myself and my team members to accept and play by the rules and to conduct ourselves as fair and decent sports for the duration of the season. We also agree to pay a game fee forfeit fine should our team fail to arrive for any scheduled game without first giving at least 1 week prior notice. I have ensured I am familiar with the stadium policy (click here to view).