APIA WOMENS NPL1 2021 EXPRESSION OF INTEREST

TRIAL FORMAT

1. All players will be given a number upon arrival.
2. Within 60mins of the conclusion of the trial, the club will post the list of player numbers on the club's Facebook page notifying whether the player is required to retrial or was unsuccessful. No player names will be posted.
3. If player is successful a non-refundable fee of $500.00 is required to be paid on the day which will be taken off the registration fees.
This can be paid via EFT or cash. If payment and registration forms are not finalised within 15mins of the conclusion of the trial the offer will be rescinded.

Player Full Name*

First NameLast Name

Player Date of Birth*

Player Contact Number*

Player / Coach Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Person Contact Name *

First NameLast Name

Primary Contact Email*

example@example.com

Primary Contact Mobile Number *

Previous Club in 2019*

Age Group Played in 2019*

Club in 2020*

Age Group Played in 2020*

Coach Full Name

First NameLast Name

Coach Date of Birth

Coach Contact Number

Coach Email

example@example.com

Previous Club in 2019

Age Group in 2019

Club in 2020

Age Group in 2020

2021 APIA Leichhardt NPL1 Girls and Women's

PLAYERS

COACHES

*This form is covered under the privacy act