Team Registration Please enable JavaScript in your browser to complete this form.Leguage * 7 a Side Social League (women) Bendigo Bank League 2 (Metro) MCSA League 1 MCSA League 2 (Southeast) MCSA League A (Saturday) Silicon Stack Premier League Women Gala Day 7 a Side Women Social League (11 a side)Team Name *Postcode *First ChoiceSecond ChoiceThird ChoiceSuburb NameFirst ChoiceSecond ChoiceThird ChoiceMunicipalityFirst ChoiceSecond ChoiceThird ChoiceGround Preference * Anderson Park Boronia Grove Clifton Park Darebin SFC #1 Darebin SFC #1 #2 #3 Darebin SFC #2 Darebin SFC #3 East Doncaster Secondary College (EDSC) Epping, Harvest Home Rd Synth J J Holland Park Knox RFC Narre P-12 Nazareth College Newmarket Newmarket Oval Princes Park RMIT Bundoora Ross Straw Rowville SC Silcock Reserve St John's Regional College Tatterson Park (Synthetic)Team Contact (Primary)Surname *Given name *Address - Street Number & Name *Suburb *Postcode *Email Address *Team Website or FacebookTelephone *Signature *Date *Team Contact (Secondary)Surname Given name Address - Street Number & Name Suburb PostcodeEmail Address Team Website or FacebookTelephone SignatureDateTeam Uniform ColourHomeTop *Shorts *Socks *Please provide image of uniform * Click or drag a file to this area to upload. AwayTop *Shorts *Socks *Please provide image of uniform * Click or drag a file to this area to upload. Payment Method: Direct Deposit Account Name: Melbourne Chinese Soccer Association Bank: Bendigo Bank BSB: 633-000 Account Number: 180 119 778 Please provide your payment receipt of $100 * Click or drag a file to this area to upload. Declaration I/we declare that all of the above information is true and complete. I/we declare that I/we have the authority to commit the above named team to the Melbourne Chinese Soccer Association (MCSA). I/we declare the above named team is aware it is participating in games at its own risk and agree to assume all risk of personal injury from any cause and indemnify the MCSA, ground owners, opposing clubs/players/officials, sponsors, match committee/officials, councils and other municipal authorities that may be involved in providing playing venues from any injuries sustained or incidents arising or loss incurred (which may give rise to a claim of damages) from the game and general competition. I/we therefore commit the above named team to playing in the MCSA competition and the team and its management agree to abide by all MCSA Rules, Regulations, Policies, Constitution and MCSA Committee decisions. I/we commit the above named team to paying all relevant fees and penalties associated with playing in the MCSA in a timely manner Consent I/we understand that soccer is a limited contact sport and that there is a risk of injury involved in playing soccer. In the event of any injury or illness, I authorise any official from Melbourne Chinese Soccer Association to obtain on my behalf and at my expense any medical assistance, treatment and transportation as deemed necessaryAgreement *I acknowledge and accept the declaration and consent.PhoneSubmit