Player Expression of Interest Form
Player Name
*
First Name
Last Name
Player Date of Birth
*
-
Month
-
Day
Year
Date
Player Gender
*
Female
Male
Other
Parent Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Number
*
Suburb I live in
*
Select age group (F) for 2025
*
Please Select
MiniRoos Girls (U9-U11)
U12s Community
U13s Community
U15s Community
U16s/U17s Community
Senior Women
Select one. PLEASE NOTE: we are no longer taking expressions of interest for NPL JUNIORS GIRLS
Select age group (M) for 2025
*
Please Select
U7s
U8s
U9s
U10s
U11s
U12s
U13s
U14s Community
U15s Community
Select one. PLEASE NOTE: we are no longer taking expressions of interest for NPL PROGRAMS as they are fully subscribed.
Club in 2024
*
Type "NA" if you did not participate in a football program at a club in 2024
Age Group in 2024
*
Type "NA" if you did not participate in a football program at a club in 2024
Club in 2023
*
Type "NA" if you did not participate in a football program at a club in 2023
Club in 2022
*
Type "NA" if you did not participate in a football program at a club in 2022
Preferred Position
*
Type "NA" if no preferred position
Tell us why you want to play at Heidelberg United FC
Submit
Should be Empty: