The form below is ONLY to be used if you have not yet given us your current contact details OR when you want to change these details. If you have not registered yet, please follow the instructions above!!!

Fill in the details required in the contact detail form below.

Notice that optional fields should be completed whenever possible.

First name:
Surname:
Student number:
DOB (dd-mm-yyyy):
Postal address:
Suburb:
Zip code:
City:
Home tel (9xxx xxxx):
Mobile (04xx xxx xxx):
Email:
What is the name of your last club?
Are you a male or a female?	Male Female
Are you a Guild Member?	Yes No
Have you ever played professional? *	Yes No
Have you already been at a training session this season?	Yes No
Did you play for Curtin last year?	Yes No
Paid member fee for this season?	Yes No Other arrangements
Other comments:

 Weekly League MEN and WOMEN

 FULL season : $200 (Guild: To Be Advised)
 Early-bird discount: $180 (10% Discount!)
(by 1st March)

NB: Guild discount is not valid for HALF season membership fees and can not be combined with other discounts (e.g. early bird discount).

Transfer money from your account (via internet, phone or stand in line at your closest branch) to our account in Bank West.

 BSB : 306 065

 Account : 033 879 6

NB:Print or keep your receipt and bring it to training to prove you have made the transcription.

=Required field

=Choose one

=Optional field

* Professional = Was paid to play soccer

First of all we want to make one thing clear. We don't make any money on your membership fee! Just the registration cost alone to Football West is $110 leaving us with $90 to cover costs relating to hiring coaches, referee-costs and material-costs (balls, cones, shirts, shorts, socks etc.). Season runs from April to September with over 25 games, that's roughly $8 for a couple of practice sessions and a game every week.