Sunshine Coast Churches Soccer - Six a Side Registration

The SCCSA Six a Side season kicks off the 8th October and finishes on the 13th December.

First name:*

Last name:*

Email:*

Date of birth:*

/ /

Age Group:*

Team:*

Are you a current SCCSA / SCCF player?:*

Yes No

Credit Card

Pay with Fair Play Voucher

Name on credit card:*

Credit card number:*

Security code (CCV):*

Expiration date:

* (MM) / (YY)

I have read the Parents and Players Codes of Behaviour and agree to abide by these and the Rules of the SCCSA and encourage my child accordingly.

Total: $