Sergio Garcia
Player Manager
Australian Football Players
PO Box 3372 Wetherill Park,
NSW 2164 Australia
Mobile: +61 414 997 205

Home
Registration Form
Registration Form PDF Print E-mail

 All information to be CLEARLY PRINTED * * Click the PRINT icon to the right to print a copy of the REGISTRATION FORM.  CLICK HERE TO PRINT


 

 

 

 

 

LAST NAME: ___________________________________

FIRST NAME: ____________________________________ PASSPORT COUNTRY :____________                          

DATE OF BIRTH:  Day/Month/Year _____/_____/_____   HEIGHT: _________________cms

ADDRESS: (NO  P.O. Box  addresses)_____________________________________________

SUBURB: _____________________________STATE:_______________ POSTCODE: _______ 

GENDER  M / F (circle one)

Contact Number: ________________________e-MAIL :_____________________________

CURRENT CLUB: _____________________________________AGE/DIVISION:_____________

PREFERRED FOOT:_________________

POSITION:____________________________DISTRICT/ASSOCIATION:___________________

ARE YOU REGISTERED WITH A REPRESENTATIVE TEAM THIS YEAR?  YES/NO (circle one)

If YES, which team:___________________________________________________________

ADDITIONAL ELITE TRAINING/ACADEMY:___________________________________________

PLAYER REGISTRATION DECLARATION:
I hereby declare
(a) I am not under suspension by any sporting organisation. (b) I am duly qualified to play for the team I have listed according to the rules of the Association. (c) I will inform Australian Football Players of any change to the above details.
 I hereby declare that all the information submitted on this form is correct. (Parent/Guardian accepts responsibility on behalf of a minor). *** Australian Football Players :DECLARATION (Approval - Photographic or Film Image)
I agree to Australian Football Players using my name and image in the promotion and marketing of Australian Football Players, the programs that are conducted and the commercial relationships that are entered into in connection with those programs.      
PARTICIPANT APPROVAL or PARENT/GUARDIAN APPROVAL (if participant is under 18):

Signed: ……………………………..  Name: …………………………Date: ……./……./…

Please return this form by post to : Australian Football Players, PO Box 3372. Wetherill Park,2164 NSW Australia Payment By DIRECT DEPOSIT, INTERNET BANKING, Cheque, Money Order, Secure PayPal This e-mail address is being protected from spam bots, you need JavaScript enabled to view it :      Australian Football Players    St George Bank:  BSB: 112-879  A/C: 428796581

PLEASE INCLUDE:

 1) Completed form   2) Passport sized photograph of player  
 3) Cheque or Money Order
* *DO NOT SEND CASH! DO NOT STAPLE PHOTOGRAPH TO THIS FORM!
PHOTOS WILL NOT BE RETURNED**

Registration FEES: (please tick the box) 
Association 13+ Players:$20.00□  Association Players 18+ $30.00□  PREMIER/State Players:$50.00

***REGISTRATION FEES CAN NOW BE MADE VIA SECURE PAYPAL FROM YOUR COMPUTER***

Please refer to our terms & conditions for further information relating to registration and services provided by Australian Football Players. Registration is valid for 12 months from time information and payment is received. Registration Fees are non refundable.Please ensure the CD is clearly marked with the players full name and address.CD's will not be returned. File must be in mpeg format. Clips will be linked to players profiles and viewed on YOUTUBE.                

                  

Read more...
 
© 2010 Australian Football Players : Player Management : Player Representation
Joomla! is Free Software released under the GNU/GPL License.
Player ManagementContact Us - Testimonials -  About Us
FIFA P Full Service Sport Agency & Player Management Company : Sergio Garcia Player Manager : Australian Football Players : Professional Football Trials, Football Contracts, and a world wide network of FIFA Agents, Clubs and Scouts.