Free Agent Registration

Sun, 10/11/2009 - 2:44pm — admin

If you are interested in playing in one of our 5v5 leagues but do not have a team, please use this registration form. For individuals interested in the 3v3 League or Super F Academy, please register for the Academy.

Select session: *

Session 2 (Feb-Mar)

Gender: *

Male

Female

Player name: *

Date of birth: *

Parent #1 name: *

Parent #1 email: *

Parent #2 name:

Parent #2 email:

Mobile #: *

Home #: *

Address: *

City: *

State: *

Zip: *

Emergency contact #1:

Emergency contact #2:

Emergency #1 phone:

Emergency #2 phone:

Futsal experience: *

Tell us about the player:

All payment is currently completed by check. Please mail your check to: Massachusetts Futsal 849 Boston Post Rd. #8F Marlborough, MA 01752-3756 Checks should be payable to Massachusetts Futsal in the amount of $25. If your child is placed on a “house” team, an additional $100 will be due once the team is formed. If your child is placed on an existing team, financial arrangements will be made directly with that team. Registration is not completed until your check arrives.

Payment: * I am mailing a check in the amount of $

You will receive an email from Massachusetts Futsal confirming your registration. Please write to registration@futsalma.com if you have any problems or questions.

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Free Agent Registration