Registration form - Summer Football!

Nepean Summer Football - mate verses mate!
Welcome to the 2018 Summer Football season and thanks for registering. Once again, we are offering 2 exciting locations giving players and parents even greater choice. Our season commences from Monday September 17 in Penrith and Tuesday September 18 in the Blue Mountains. Before filling this form in you need to register at www.myfootballclub.com.au. Use your current FFA number and select 'Nepean Summer Football'. If you do not have an allocated FFA number please create your own by following the prompts on that website. Once registered fill in the details below and one of our team will be back in touch. Summerhayes Park will again be for age groups under 6 - intermediate men and women. The Intermediate age group are those aged 16 - 21, keeping that age division in line with our Winter competition. It's up to you whether your team plays at Jamison Park or Summerhayes. Under 6 through to and including All Age Men and Women, Mixed, over 35 Men and Walking Football will remain being played at Jamison Park.
Players full name

First NameLast Name
Players FFA number
Players address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home/Work Number

Area CodePhone Number
Mobile Number

Area CodePhone Number
E-mail
Have you registered at myfootballclub.com.au?

YesNo
Where did you register to play? Blue Mountains or Penrith?
Are you registering as an individual player or part of a team?

Individual player (we will find you a team)As part of a team (please include your other team members in the section below
What age division are you wanting to play for?

Under 6Under 7Under 8Under 9Under 10Under 11Under 12 MaleUnder 12 FemaleUnder 13 MaleUnder 13 FemaleUnder 14 MaleUnder 14 FemaleUnder 16 MaleUnder 16 FemaleAll Age MenAll Age WomenAll Age MixedOver 35's MenIntermediate Men (aged 16-21)Intermediate Women (aged 16-21)Walking Football (Jamison Park only)
In this section if you selected 'as part of a team' we need to know the names of the players you wish to be playing with so you are placed in the same team.
NB: If you are playing as part of a team please let us know who the main contact including mobile and what your team name is:
Should be Empty: