ACU Sydney Futsal Club

Sydney Futsal Club registration form

About

Option 1 - Five Dock - Wednesday nights
Option 2 - PCYC Marrickville - Thursday nights

First name *

Last name *

Email address *

Additional instructions for the previous question. If you are a student, please enter your ACU email address

Student number *

Additional instructions for the previous question. If you are a non-student/community member please write N/A

Mobile number *

Date of birth *

Gender *

Do you identify as Aboriginal or Torres Strait Islander? *

Yes

What competition would you like to play in? * (Maximum authorized answers: 2)

Five Dock - Wednesdays

Marrickville - Thursdays

What is your membership type? *

ACU Student

ACU Alumni

Non-student /community member

What campus are you from? *

North Sydney

Strathfield

Blacktown

Not an ACU Student

Playing information

I am: *

A returning player

New to the club

Tell us about your playing experience *

I have never played it before and want to give it a go!

I play socially and want to have fun

I play competitively and want to develop my skills

I am an elite athlete (EAPP)

What are your preferred playing position/s? *

Would you be interested in weekly training with a registered coach? *

Yes

Would you be interested in a leadership position? *

President

Vice President

Treasurer

Secretary

Team Manager

I am not interested

Additional instructions for the previous question. Select as many roles as you are interested in. Our leaders are well looked after by ACU Sport with free training, support and mentoring. It's also great on your resume!

What is your preferred uniform size? *

Should you uniform size not be listed please, comment the size below.

Would you be interested in representing ACU at the following events?

Intervarsity events

UniSport Nationals

Intracampus events

Medical information

This information is required for insurance, should you sustain an injury during club activities

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Relationship (i.e mother, friend etc) *

Please list any injuries you may have had (within last 12 months) *

Additional instructions for the previous question. If you have not been injured, please write N/A

Please list any medications you are taking *

Additional instructions for the previous question. If you are not taking any medications, please write N/A

Do you have any questions for the club?

Do you agree to the ACU Sport Terms and Conditions? *

Yes, I agree

Document: ACU_Sport_Terms_and_Conditions_over_18s

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