Winter Application Form

Welcome!

Our 2019 Winter competition will commence first week of May with our finals being held in August, 2019.

To reserve a Team in this years comp, delegates must submit the online application and have fees paid in full by the first game, so Don't Miss Out!

Start date will be first week of May & will be confirmed at the 'Team Managers' meeting.

Games are played with seven (7) players on the field at any one time, with 'unlimited reserves*'.

All teams must adhere to the rules and be in uniform by round four (4).

No player is covered by Insurance!

Insurance is each team and player’s own responsibility.

Winter Competitions

MIXED	MENS & MIXED

Queens Park	Heffron Park
Sunday mornings	Monday & Wednesday evenings

Entry Fees

***Updated Price***

Prices per competition are listed below, please have your team registered and paid in full by:

The first game!

Discounts for teams that enter into multiple competitions at either Queens Park or Heffron Park or both, give us a call on 0409 307 607 or email queensparktouch@hotmail.com to find out more.

All prices include a Queens Park Touch Football which must be collected at our 'Team Managers' meeting.

Uniforms & Shoes Available

Purchase

XBlade Touch Shoes for $50 a pair in various sizes and colours

Uniforms with Queens Park Touch logo

Singlets @ $10 or T-shirts @ $15 each

Opportunity

Referees Wanted!

Think you or your players have what it takes to referee!?

Get in touch with Jim for further details on 0409 307 607 or queensparktouch@hotmail.com

Competition Selection

Please select at least one response from the competitions below.

If you are interested in entering your team/teams into multiple competitions, select all relevant competitions below and send us an email queensparktouch@hotmail.com to take advantage of our special discount for multiple comps.

Queens Park - Sunday Morning - Competition: * 🛈

MIXED - 9:30am - $595

Not interested in Queen Park comp

Heffron Park - Monday Evening - Competition: * 🛈

MIXED - from 7pm - $895

MENS - from 7:30pm - $895

Not interested in Heffron Park Monday evening comp

Heffron Park - Wednesday Evening - Competition: * 🛈

MIXED - from 7pm - $895

MENS - from 7:30pm - $895

Not interested in Heffron Park Wednesday evening comp

Team Information

Team Name *

Team Contact Fullname: * 🛈

Team Delegate: *

Manager

Captain

Player

Email * 🛈

Contact Number: * 🛈

2nd Team Contact Fullname: * 🛈

2nd Team Delegate: *

Manager

Captain

Player

Email * 🛈

Contact Number: * 🛈

Is your team interested in our Queen Park Touch singlets or t-shirts? *

Yes

Payment Details:

Payments to be made via Bank Transfer to the below account before the first game or email queensparktouch@hotmail.com for a different payment option.

Account Name

BSB

Account Number

Reference / Description

Declaration of consent:

I hereby nominate the above team for acceptance into the Queens Park Touch Football competition.

The players and officials of the team/club agree to comply with and abide by the rules of the Association.

We are aware of the requirements relating to insurance (No player is covered by Insurance! Insurance is each team and player’s own responsibility.) and uniforms (teams must be in uniform by round four (4) as set out in the rules).

Name: * 🛈

Position: * 🛈

Signature: *

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	Contact Us:
h: 9314 1399		m: 0409 307 607
	queensparktouch@hotmail.com
	www.queensparktouch.com.au
	www.facebook.com/queensparktouch/