Futsal Gold Cup Series Registration Form

Name

Email Address

Sex Sex Male Female Other

Age

Country Country Portugal Spain Norway United States England France Wales Italy Canada Germany

Are you with an existing team?

If not with an existing team, would you like us to place you on an existing team?

Address

Country Code

Telephone Number

Jersey Size

Role as a player Role as a player Goalkeeper Defender Winger Pivot

Agreement Agreement I agree to all the points mentioned above by me