Winter Application Form

Welcome!

Our 2021 Winter competition will commence in May, 2021 with our finals towards the end of July beginning of August, 2021.

To reserve a Team in this years comp, delegates must submit the online application and have fees paid in full by Friday 30th April, so Don't Miss Out!

Games are played with seven (7) players on the field at any one time, due to COVID we ask that you have no more than 15 players per team.

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 and/or choice.

Winter Competitions

MIXED	MIXED & MENS

Queens Park	Heffron Park
Sunday mornings	Monday & Wednesday evenings

Entry Fees

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

Friday 30th April, 2021

Discounts for teams that enter into multiple competitions, give us a call on 0409 307 607 or

email queensparktouch@hotmail.com to find out more.

Opportunity

Referees Wanted!

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

Get in touch with us 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 - $695

Not interested in Queens Park Sunday morning comp

Heffron Park - Monday evening - Competitions: * 🛈

MIXED - from 6:30pm - $995

MENS - from 7:30pm - $995

Not interested in Heffron Park Monday evening comps

Heffron Park - Wednesday evening - Competitions: * 🛈

MIXED - from 6:30pm - $995

MENS - from 7:30pm - $995

Not interested in Heffron Park Wednesday evening comps

Team Information

Team Name *

Team Delegate Full Name: * 🛈

Email * 🛈

Contact Number: * 🛈

Backup Team Delegate Full Name: * 🛈

Email * 🛈

Contact Number: * 🛈

Would you or any members of your team be interested in refereeing (paid per game)? *

Yes

Maybe

Payment Details:

Payments to be made via Bank Transfer to the below account on or before Friday 30th April, 2021 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, including adherence to the COVID Safety Plan.

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).

All our players, officials and referees are human.

They volunteer their time and without them we wouldn't have a Competition.

Please treat everyone with respect!

Name: * 🛈

Position * 🛈

Signature: *

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