Summer Single Player Application Form

Welcome!

We are taking applications for our 2024-25 Summer Competition.

We are scheduled to commence the competition from Monday 28th October (as normal) with our Finals the beginning of March, 2025.

To reserve a place in one of our Queens Park Teams in this year's comp, we are asking for you to submit the online application and make payment in full by 30th September to obtain our Special Price. First in, will be guaranteed a spot in the competition, so Don't Miss Out!

There will be (approx) 5-6 week break over the Christmas period, no games will be played during the break.

Games are played with seven (7) players on the field at any one time, with unlimited reserves.

All players must adhere to the rules and be in uniform by round four (4).

No player is covered by Insurance!

Insurance is each player’s own responsibility and/or choice.

Summer Individual Competitions

MIXED

Queens Park
Monday & Tuesday evenings

Entry Fees

$110 to enter one competition

Or

$145 to enter two or more competitions

Fees cover the full season and a team t-shirt or singlet

Please have yourself registered and paid in full by:

30th September to Obtain the Special Price

Opportunity

Referees Wanted!

Think you have what it takes to referee!?

Get in touch with Jim or Greg for further details on 0409 307 607 or queensparktouch@hotmail.com

Queens Park - Competition *

Monday MIXED - 6:30pm

Tuesday MIXED - 6pm

Tuesday MIXED - 6:45pm

MENS OPEN :	No more than 7 players must be on the field at any one time.
MENS Over 30's :	Only 4 players under 30 are permitted, but only 2 can be on the field at any one time.
LADIES OPEN :	No more than 7 players must be on the field at any one time.
MIXED OPEN :	No more than 4 male players and 3 registered female players must be on the field at any one time, with the exception of 1 lady must be on the field to start a game.

Personal Information

Full Name *

E-mail *

Contact Number *

Emergency Contact Name *

Emergency Contact e-mail *

Emergency Contact Number *

T-shirt / Singlet Size: *

Playing Experience
Please choose the option that best describes you. *

Would you like to be in a team with another registered player?
Please write their name/s so we can place you in the same team.

Would you interested in refereeing (paid per game)?

Yes

Maybe

No

Payment Details:

Payments to be made via Bank Transfer to the below account on or before 30th September to Obtain the Special Price or email queensparktouch@hotmail.com for a different payment option.

Account Name

BSB

Account Number

Reference / Description

Declaration of consent:

I agree to comply with and abide by the rules of Queens Park Touch Football Association, including adherence to the COVID Safety Plan (if required).

I am aware of the requirements relating to insurance (No player is covered by Insurance! Insurance, it is each player’s own choice and responsibility).

All our players, officials and referees are human.

They volunteer their time and without them we wouldn't have a Competition.

Please treat everyone with respect!

Name *