Important Information:

  • You only have to fill in one form for multiple players. Use the Add a Player button to add additional players.
  • You will receive a confirmation email that your registration has been received.
  • After submitting the form you need to make payment to our bank account (use your Family name as reference).
    The total owing will show at the bottom of the form and in the email your receive from us.
  • No player will be considered registered until payment is received we have sent confirmation of that to your supplied email address.
  • If you have any questions please contact the club by phone on 021 0851 0282, or by email info@queenstownfootball.com

We are currently taking registrations for the following leagues:
(Select your appropriate league in the form below)

 

  1. Age 5-6: Junior Winter League – Play Sun / Train Sat
  2. Age 7-14 : Club Winter League – Play Sun / Train Wed
  3. Age 15-17 : Club Winter League – Play Sun / Train Wed
  4. Age 15-17 : High School and Saturday League – Play Sat / Train Tue & Thur

2016 Registration Form – Juniors

2016 Junior Season Registration Form

Parent / Guardian Details

(in case of cancellations)

Emergency Contact

Player Details

(all-female teams will only be available if minimum numbers are met)
(e.g. asthma, epilepsy, bee stings)
e.g. tablets, inhalers, creams (please give name of medication)
(e.g. concussion, fracture, sprains, strains)
Add another player Remove

Buy Shorts

$30 per pair

Buy Socks

$15 per pair

Buy Hoodies

$45 each

Volunteer/Fundraising Fee

The club is run entirely by volunteers and receives a significant amount of funding through the money we raise at home days, raffles, etc. We ask that one parent or guarding per player/family volunteer a minimum of 3 hours of their time during the season. If you, are unable to do so we ask that you please donate a $45 fundraising fee.

Authorisation

I authorise Queenstown Associated Football Club to provide emergency treatment of an injury to or illness of my child if qualified medical personnel consider treatment is necessary and perform the treatment. This authorisation is granted only if I cannot be reached and every reasonable effort has been made to reach me.

I understand this informed consent form and agree to its conditions on behalf of my child.
By signing/ticking the box below you also agree to the QAFC Terms and Conditions plus the following:

a) Privacy: in addition to QAFC, you agree that the club may contact you by email or text for any reason.
b) Photos: That QAFC and associated media can publish photos of your children.

Please let us know directly if you do not consent to either condition by emailing info@queenstown-football.com.

Terms & Conditions: these can be found at www.queenstownfootball.com/terms-and-conditions.

Price Breakdown

Payment Details:

Bank: SBS
Branch: Queenstown
Account Number: 03-1355-0606444-00
Reference: Your Full Name

Sending

FTC

Queenstown Football are proud to have the support of local businesses:

Colliers International - Queenstown
ITM Building Supplies

 

ITM Building Supplies

Pin It on Pinterest