Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeRegistration Type *SelectTeamIndividualRefereeKick It 4 Kids2022 Cash Day Tournament (Feb)2022 LIVIN Charity Shield (July)Venue/Competition *SelectCarseldine (Monday)Carseldine (Wednesday)Toowong/TaringaGracevilleToowoombaVenue/Competition *SelectCarseldine (Monday)Carseldine (Wednesday)Toowong/TaringaGracevilleToowoombaTeam Name *Team Type *SelectMensMixedChild's Name *FirstLastAge *Gender *FemaleMalePaymentPay Now? *SelectYesDuring seasonTeam FeesPrice: $ 250.00Kick It 4 Kids CostPrice: $ 160.00Payment Option *Select Direct Debt TransferPayPal Credit Card (Stripe)Credit Card Fees apply* Payment Option *Select Direct Debt TransferPayPal Credit Card (Stripe)Credit Card Fees apply* Payment Option *Select Direct Debt TransferCash On DayPayPal Credit Card (Stripe)Credit Card Fees apply* Payment Option *Select Direct Debt TransferFair Play VoucherPayPal Credit Card (Stripe)Credit Card Fees apply* Stripe Credit Card *CardName on CardTeam WearGet started with team wear from Intercept Supply Co.Purchase a new Kick It Steeden match footy for your teamYes - $ 29.00Terms & Conditions *I have read and agree to the Terms and ConditionsTotal$ 0.00Register! Once your have filled out your registration form, our venue manager will be in contact with you. For a full breakdown of competition details and payment options, please visit your venue page. Have a question? Contact us. Share this:Facebook