Futsal Brisbane League

Individual Nominations

October - December 2024

Please note - this submission form is for an expression of interest to join a team to play on weekends, there is no training element. Your position within a team will not be secured until you have received a confirmation email from us.

Player Name

First Name

Last Name

Date of birth

The year you were born determines what age you play.

MM

DD

YYYY

Parent Name

First Name

Last Name

Email

Phone

(###)

###

####

Competing age

Player history

Please advise of current or past football/futsal experience (if any).

Coach/manager role

Would you like to be considered for game day coach/manager role?

Message

Please advise if you would like to add any other comments i.e. wants to play up or down an age, wants to play with a friend/friends etc.