2025 Football SA State Futsal Championships

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Football South Australia is proud to host the 2025 Football SA State Futsal Championships

COMPETITION DETAILS

DATE: Monday 15th December 2025

TIME: 09:00 - 17:00

VENUE: St Clair Recreation Centre

ADDRESS: 109 Woodville Rd, Woodville South SA 5011

COST: $50 per player, no team registration fee

AGE GROUPS:
Mixed - U12 (2013 born)
Boys - U13 (2012 born) + U15 (2011 + 2010 born)
Girls - U14 (2011 + 2012 born), U16 (2009 + 2010 born)

To nominate your team for the Football SA State Futsal Championships please complete this form.

REGISTRATION DEADLINE:

12pm, Monday 1st December 2025
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Name of Team* This field is required.
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Nominated Age Group* This field is required.
Please Select
Please Select
Mixed U12 (2013 born)
Boys U13 (2012 born)
Girls U14 (2011 born)
Boys U15 (2010 born)
Girls U16 (2009 born)
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Name of Contact Person* This field is required.Please ensure this is one of the Team Officials.
First Name
Middle Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
04##-###-###
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Team Colours* This field is required.
Jersey
Shorts
Socks
Home Kit
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Alternate Kit
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Home Kit
Alternate Kit
Jersey
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Shorts
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Socks
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Jersey
Row 1, Column 0
Shorts
Row 1, Column 1
Socks
Row 1, Column 2
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Player Details* This field is required.This section requires an answer in every row. If less than 8 players in team, Put N/A in first cell of remaining rows
First Name
Last Name
Email Address
Contact Number
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First Name
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Last Name
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Email Address
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Contact Number
Row 0, Column 3
First Name
Row 1, Column 0
Last Name
Row 1, Column 1
Email Address
Row 1, Column 2
Contact Number
Row 1, Column 3
First Name
Row 2, Column 0
Last Name
Row 2, Column 1
Email Address
Row 2, Column 2
Contact Number
Row 2, Column 3
First Name
Row 3, Column 0
Last Name
Row 3, Column 1
Email Address
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Contact Number
Row 3, Column 3
First Name
Row 4, Column 0
Last Name
Row 4, Column 1
Email Address
Row 4, Column 2
Contact Number
Row 4, Column 3
First Name
Row 5, Column 0
Last Name
Row 5, Column 1
Email Address
Row 5, Column 2
Contact Number
Row 5, Column 3
First Name
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Last Name
Row 6, Column 1
Email Address
Row 6, Column 2
Contact Number
Row 6, Column 3
First Name
Row 7, Column 0
Last Name
Row 7, Column 1
Email Address
Row 7, Column 2
Contact Number
Row 7, Column 3
First Name
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Last Name
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Email Address
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Contact Number
Row 8, Column 3
First Name
Row 9, Column 0
Last Name
Row 9, Column 1
Email Address
Row 9, Column 2
Contact Number
Row 9, Column 3
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Team Official Details* This field is required.Please ensure team official details are valid. Dont forget to scroll all the way to the right to answer all questions. This section requires an answer in every row. If less than 3 team officials, Put N/A in first cell of remaining row
Designation (Coach, Team Managers, Physio)
First Name
Last Name
Contact Number
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Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
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Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
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Row 2, Column 0
Row 2, Column 1
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2
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Designation (Coach, Team Managers, Physio)
Row 0, Column 0
First Name
Row 0, Column 1
Last Name
Row 0, Column 2
Contact Number
Row 0, Column 3
Designation (Coach, Team Managers, Physio)
Row 1, Column 0
First Name
Row 1, Column 1
Last Name
Row 1, Column 2
Contact Number
Row 1, Column 3
Designation (Coach, Team Managers, Physio)
Row 2, Column 0
First Name
Row 2, Column 1
Last Name
Row 2, Column 2
Contact Number
Row 2, Column 3
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Team Official - Working with Children ChecksKindly submit valid Working with Children Checks for all previously listed Team Officials. (If not currently available, kindly send an email to futsal@footballsa.com.au)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Declaration

The information outlined in this nomination form is true and correct. All player and team officials will be required to abide by the Rules and Regulations of Football Australia and Football SA during their involvement in the Futsal Competition.

All players and team officials must be registered with the Football SA in accordance to the process provided and agree to pay all fees associated with players participating in the competition.
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Signature* This field is required.
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