A.D Unity Futsal League - Women's (Open) - Entry Form
DATE / TARIKH:      20th March 2019
TIME / MASA:         9.00PM First game kick-off  
VENUE / TEMPAT:  Sportizza - Home of Sports Shah Alam
ENTRY FEE / BAYARAN:  RM250   + RM100 (refundable deposit)
WEEKLY PAYMENT / BAYARAN MINGGUAN: RM90        
 
PRIZES / HADIAH
1st Place  RM1,000 + Medals
2nd Place RM 800 + Medals
3rd Place RM 500 + Medals

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Rules & Regulations
Please visit this link for all rules and regulations of the league / Sila layari laman web di bawa untuk peraturan dan undang-undang liga.

www.adrenalinedudes.com/rules
Team Name / Nama Pasukan *
Captain / Manager *
Captain / Manager Contact No *
Team Member #1 (Name / Nama & NRIC) *
Team Member #2 (Name / Nama & NRIC) *
Team Member #3 (Name / Nama & NRIC) *
Team Member #4 (Name / Nama & NRIC) *
Team Member #5 (Name / Nama & NRIC) *
Team Member #6 (Name / Nama & NRIC) *
Team Member #7 (Name / Nama & NRIC) *
Team Member #8 (Name / Nama & NRIC) *
Team Member #9 (Name / Nama & NRIC)
Team Member #10 (Name / Nama & NRIC)
Team Member #11 (Name / Nama & NRIC)
Team Member #12 (Name / Nama & NRIC)
Team Member #13 (Name / Nama & NRIC)
Team Member #14 (Name / Nama & NRIC)
Team Member #15 (Name / Nama & NRIC)
Important Details / Maklumat Penting
Organizer Details

H/P – 016-359 9772 (DANNY)
        – 016-699 1646 (AAMES)

Payment to be made to:
CIMB BANK – AAMES NG HOCK WENG – Account Number: 7018090808
* Please whatsapp print screen or bank-in slip to the contact numbers of the organizers

Sila buat bayaran kepada:
CIMB BANK – AAMES NG HOCK WENG – Nombor Account: 7018090808
* Tolong hantarkan whatsapp slip bank-in atau print screen kepada nombor telefon organizer.

Disclaimer:

By submitting this entry form, no member of my team would be able to fault the organizers, sponsors, referees and event team for any short-comings, injuries, damages, theft, loss of life or any circumstances that might occur to my team before, during and after this tournament. The organizers have the right to disqualify any team that causes trouble during the tournament.

Penafian:

Dengan menyerahkan borang pendaftaran ini, tiada sesiapa daripada pasukan saya yang boleh menyalahkan penganjur, penaja, pengadil dan kakitangan penganjur untuk sebarang tindakan, kecederaan, kerosakan, kecurian, kehilangan nyawa atau sebarang kejadian yang mungkin berlaku kepada pasukan saya ketika, sebelum dan selepas pertandingan berlangsung. Pihak penganjur berhak membatalkan penyertaan mana-mana pasukan yang mencetuskan masalah semasa pertandingan ini.  

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