Payment for Perth Soccer Juniors Player Fees

All existing 2011 Perth Junior Soccer Club players from U/6’s – U/10’s and invited existing players and newly selected players from U/11’s – U/16’s are invited to register for the new season 2012.

Please note only existing players from selected age groups and players selected and offered positions from the trial process are eligible to register at this time.

Open registration will be conducted in February 2012 where a limited number of places will be available. Further information will be made available closer to the date.

All newly invited players will be required to register no later than 15th December 2011.

Existing 2011 Perth SC players are required to register no later than 30th January 2012.

All younger siblings in any age bracket will receive a $30 discount.
Please use the discounted price in the payment dropdown when registering!

UNIFORMS

All Junior Club player gear and club merchandise is available either through the club store online or directly through the junior club uniform store located at Forrest Park.
The uniform store is open 2 evening per week during the season. Please check opening times either online or at the canteen.

SUBMIT AND REGISTER BELOW

Please enter all information on this form to make payment for Perth Soccer Juniors Player Fees .
The minimum amount (depending on age group or premiers) you need to pay is $280.00 .

Important note: Your registration will be fully completed when you have completed and sent the FFA amateur player form to the club filled in and signed as well! Click here to download.

Please continue with your registration and membership fee below.

Player Surname *
First Name *
Date of birth *
FFA registration
Player's School
Gender *
Address *
Suburb *
Post Code *
Parents/Guardians details 1
Please fill in all Parents/Guardians details. We need these for our records and improved parent/guardian contactability
Surname *
First Name *
Phone *
Email *
Parents/Guardians details 2
Surname *
First Name *
Phone *
Email *
Junior Player Medical Information
This section should be completed by the parent/ guardian of the nominated player and is held by the club under the strictest confidence and will only be made available by yourself to the club representatives responsible
Any medical condition? *

Does your child have any medical condition, which may require medication or treatment BEFORE, DURING or AFTER a match and / or training? If yes, please provide details directly to your team coach and manager at the commencement of season.

Any physical condition? *

Does your child have a physical condition or impediment? If yes, please provide details directly to your team coach and manager at the commencement of the season.

Parents/ Guardians of junior teams will be required to assist with a variety of team duties on match days. These are usually based on a team roster system and will includea variety of duties.
Other sibling *

Player has/ will have a sibling currently enrolled at PSC?
Sibling name
Available to assist *

I / we are available to assist with our own child’s weekend games during 2011 season
Coaching? *

I / we are available to coach a team in 2012.

Tean Manager *

I / we are available to manage a team in 2012.

Assistant Coach *

I / we are available to assistant coach a team in 2012.

Uniform information
1. All returning 2011 players please tick: short & sock size.
2. NEW PLAYERS for 2012 season please tick: short, sock, and spray jacket size, in addition NEW PLAYERS & EXISTING PLAYERS 13’s to 16’s tick, white sock size.
3. NEW PREMIER PLAYERS for 2012 please tick: short, sock (blue & white), spray jacket, tracksuit pant and polo top size.
5. Please note aged related sizing is a guide only.
4. Any additional apparel required by players, can be ordered through our online store.
ITEMS
Errea White Playing Shorts *

Sizes (inc. in fees)
Errea Blue Playing Socks *

Sizes (inc. in fees)
Errea White Playing Socks

Sizes (inc. in fees U13-u16)
Tracksuit Pants

Sizes (inc. in fees for new 2012 players only)
Club Polo Shirt

Sizes (inc. in fees for new 2012 players only)
Errea club Spray jacket

Sizes (inc. in fees for new 2012 players only)
Players Sports Bag

(inc. in fees for new 2012 players only) Note; sports bags to be collected at club store in 2012. New sports bags can be purchased by existing players from Club Store.

Amount *

A 2.5% surcharge will be charged on top this amount on checkout
I accept Terms and Conditions
Perth Soccer Club (Inc)
Street Address: 3 Lawley Street, West Perth, WA, 6005
Mailing Address: PO Box 249, North Perth, WA, 6906