Please complete this form to register with Old Peninsula Soccer Club for the 2025 Season

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* 1. Full Name

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* 2. Date of Birth

Date

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* 4. What is your contact number?

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* 5. Emergency Contact and Contact Number

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* 7. Member Code Of Conduct

To complete your membership, you must pay now.

Please deposit the required amount into the Soccer Club's Direct Debit Account.

Membership options for 2025:

- Full Member ($399)
- Full Member Brining a New Member ($199)
- New Member ($199)
- Business Player Sponsorship ($599)
- Social Member ($75)


Your Membership will not be processed until payment has been made. If you have any queries about your 2025 Membership, please contact Joshua Sinclair or Mark Winslade immediately.

PAY BY DIRECT TRANSFER: BELOW

ACCOUNT NAME: TOPSA
BSB: 633 000
ACCOUNT NUMBER: 157412032
AMOUNT: $399.00
REF: NAME2025

Or, PAY BY EFTPOS: See Mark Winslade at training and ask to tap your card via our eftpos machine.

All done? Click on 'Join Now' to complete your 2025 Membership!

All members should join our Facebook group here: https://www.facebook.com/groups/453555784667912

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