2025 Miniroos Acceptance

Player Name*

First Surname

Player Gender*

Male

Female

Player DOB*

Age Group for 2025 Season*

Does your child have asthma?*

Yes

Does your child have allergies?*

Yes (Please specify)

Known allergies

Please detail any other medical information we should be aware of

Parent/Guardian Name*

First Last

Contact #*

Email*

Address*

Street Address City State Postcode

Name*

First Surname

Contact #*

Relationship to Player*

Please view our 2025 Sports Policy Click Here

Please view the FSA Code of Conducts here: Click Here

Total Payment (incl. club fee deposit and Volunteer Levy)

Credit Card*

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

2025 Miniroos Acceptance Form