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CC Futsal
Central Coast Futsal
Team Nomination
Team Nomination
Name
*
Email
*
Mobile
*
Choose your Competition type
*
Boys/Men
Girls/Women
Choose your Competition
*
U12
U14
U16
17
18
1st 19 to 30
Choose your Competition
*
U11
U13
U15
U16
U17
1st 17 to 30
Your Team Name
*
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Player Registration
Team Name
*
Player Name
*
Parent Guardian (anyone under 18 must fill in)
Mobile
*
Email
*
Product
Registration: $ 145.00
Total
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Submit
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