Futsal HQ: Team Registration Form

Please note: This form is only to be completed by teams officially approved to enter a league hosted by Futsal HQ ; it is NOT an Expression of Interest form or Team Application form. Furthermore, a minimum of 5 players must be listed on this form in order for your team’s registration application to be considered valid as per Rules of Competition.

TEAM DETAILS

TEAM CAPTAIN

VICE CAPTAIN

PLAYER 3

PLAYER 4

PLAYER 5

PLAYER 6

PLAYER 7

PLAYER 8

PLAYER 9

PLAYER 10

PLAYER 11

PLAYER 12

PLAYER 13

PLAYER 14

PLAYER 15

CONDITIONS OF ENTRY INTO A FUTSAL HQ SANCTIONED COMPETITION:

1. Each team must provide a Team Captain who will be contacted by Futsal HQ in regards to league and season information, league fixtures, disciplinary matters and/or any other competition concerns. It is the Team Captain’s responsibility to ensure that all relevant information regarding the competition, not limited to email notifications, is communicated to other members of the team. Furthermore, it is the responsibility of the Team Captain to ensure an active email address and phone number exists with Futsal HQ and that all players are validly registered prior to participation in our competitions.

2. Failure to submit a valid registration form by the prescribed due date will result in an administration levy of $50.00 (billed to the Team Captain). Avoid the fee, submit your player's details on time.

3. Futsal HQ operate competitions based on a LOW-TOLERANCE POLICY : At no stage are Futsal HQ under any obligation to accept, maintain or re-new team applications (or allow offending players to return to a competition) and past behaviour will be taken into account when an application to register or re-register is received. WE RESERVE THE RIGHT TO REMOVE TEAMS AND/OR PLAYERS AT ANY TIME FOR BEHAVIOURAL OR FINANCIAL MISCONDUCT. As part of a player’s and/or team’s membership and registration with Futsal HQ, all members are expected to adhere to the rules of competition and conduct themselves in an appropriate manner at all times. In order to protect the image and reputation of Futsal HQ, we are committed to maintaining a safe, enjoyable and inclusive environment in relation to our competitions.

Consistent with the values of the organisation and in-line with the Futsal HQ Low-Tolerance Policy and conditions of registration, all playing members and team-associates are required to:

*conduct themselves in ways that are respectful to all, lawful and in the spirit of the game;

*refrain from conduct endangering the safety of players;

*refrain from engaging in or endorsing any form of threatening conduct, or vilification or abuse on the basis of race, gender, religion, disability or sexuality;

*refrain from any provocation of players, spectators and/or opponents that may lead to acts of violence, disruptive behaviour or use of offensive or abusive language or gestures; and;

*conduct themselves in a manner that does not damage (or have the potential to damage) the reputation of the Futsal HQ.

Futsal HQ do not intend to suppress passion or commitment whilst you’re on-court playing for your team, but rather, ensure that all participants understand that there is a line which divides passion and offensive behaviour.

4. All participants and spectators must adhere to the conditions or rules of the venue in which your league is held (i.e. no smoking, no marking shoes, no alcohol, adhering to car park speed limits). Any breach of conditions and/or anti-social behaviour will be dealt with accordingly by venue management and may result in expulsion from the respective Futsal HQ league.

5. All participants MUST be registered prior to participation. A registered participant is an individual who is engaged in activities that are provided, organised, supported or sanctioned by Futsal HQ with the individual's personal details provided in their entirety on a validly lodged Registration Form prior to participation. Note: Parental consent (written) along with approval by Futsal HQ Competition Management is required prior to participation where an individual is under 16 years of age

6. In order to keep competition costs at modest levels, players are encouraged to arrange their own separate insurance arrangements against the event that they injure themselves during the course of playing. Many recreational activities involve a degree of physical risk and participants may sustain personal injuries or death as a result of my participation in recreational activities. All participants must consider medical, social, paramedical costs as well as their own financial position if they are unable to work for an extended period before participating in a Futsal HQ competition. Players are therefore encouraged to insure themselves get their own personal medical and ambulance cover and to ensure adequate income protection insurance.

Futsal HQ carries limited Personal Accident Insurance cover for individuals that have officially registered their details as part of the Futsal HQ team and player registration process. To be an insured team or member in a Futsal HQ competition, participants must be included in a completed, financial and validly lodged insurance form with Futsal HQ prior to participation.

In respect to the Personal Accident coverage, the Schedule of Benefits is to be considered as basic and entry level, subject to a $500 excess fee (each claim) and DOES NOT include loss of income benefits. Futsal HQ encourage participants to review their own personal needs and circumstances and where appropriate consider Private Health, Life and Income Protection Insurance as the coverage is not comparable to many basic private health packages. It is most important all are aware of the limited coverage provided and the procedure to follow in the event of a claim prior to an incident arising. Failure to be aware of the extent of coverage and procedures to follow often leads to unnecessary delays and in some cases, disappointment.

7. During the course of your team's participation in the competition your team is entering, Futsal HQ-appointed Media staff may take photographs and film footage of you and your team members and may use the photographs and/or film footage for promotional purposes, including for use on the website, Facebook page and YouTube (public sites). Your team agrees and accepts that filmed and photographed material may be reproduced for those purposes. Filming and Photography of matches primarily occurs on Grand Final nights and any promotional video includes (with prior consent) first names and initials of each participant. Registered members of your team can opt-out by directing an email to info@futsalhq.com.au or calling our Administration line on 0423 822 699.

8. Prior to submitting this form, you as Captain agree to read Rules of Competition in full, with any queries to be directed to the Futsal HQ Management Team : info@futsalhq.com.au : PRIOR to your team's commencement in a competition.

DECLARATION

(FULL NAME) ) declare that I have read the Rules of Competition and league documentation pertaining to the Futsal HQ league I am entering and agree for myself and team members to abide by them. I understand the league I am entering operates under a LOW-tolerance policy and if at any point behaviour, conduct or commitment is questioned, the Directors and Officials have the ability to remove my team from the league. All players are required to register their details prior to participation in a Futsal HQ competition. Furthermore, I will not hold the Directors or Officials of Futsal HQ responsible for any injury, damage or loss of property belonging to myself or members of my team.

TICK THIS BOX TO ACCEPT THE RULES OF COMPETITION AND CONDITIONS OF REGISTRATION ON BEHALF OF THE TEAM

About Us

Futsal HQ! Commenced by sports administration & futsal enthusiasts in order to create fitness and socialisation opportunities for members of the community, particularly in Melbourne’s inner-south-eastern suburbs.
Futsal HQ offer the following social futsal competitions:
Burwood Mixed League
Camberwell Men’s League
Hawthorn Men’s League
Burwood Women’s League
Caulfield Mixed League
Carlton North Mixed League
Burwood Women’s League
Hawthorn Mixed League
Futsal HQ is open to all members over the community (aged 16 years and over) with a range of opportunities that allow participation and developing skills and knowledge in Futsal within an organised, enthusiastic and fun environment