Launceston City FC Program Registration Players Details Player Given Name * Player Surname * Players Date of Birth * Players Year Birth * 2008 - U14 2009 - U13 2010 - U12 2011 - U11 2012 - U10 2013 - U9 2014 - U8 2015 - U7 Age Group * U7-U8-U9-U10-U11 4.30pm - 5.30pm U12-U13-U14 6pm - 7.30pm Goalkeeper U10 - U14 6pm - 7pm Does your player have any medical conditions? * Yes No If 'Yes' your player has a medical condition please list the condition Contact Details of Parent/Guardian Parent/Guardian Given Name * Parent/Guardian Surname * Email Address * Confirm Email Address * Phone Number * Promotional Content Do you allow permission for the use of photos/videos on social media and launcestoncity.com.au for promotional puposes? * Yes No Purchase Options (Select Options) Product Item Price Quantity Term 4 - 8 week program $65 Sub Total Payment Options To proceed with payment, please transfer program fee of $65 to the following account: Launceston City DevilsBSB: 632001ACC: 100196890 Please use your players First Initial and Surname and T4 as reference i.e JSmithT4 Form Not Submitting? We've had reports recently that upon submitting the form that it will feature a spinning loading icon and seem not to submit. We would like to confirm that we do still receive your form submission on our end, and all is well. We will continue to monitor the situation. Thank you. Should you have any enquiries please contact alex.aylott@launcestoncity.com.au Register Please Waitโฆ