Player Expression of Interest Form

Player Expression of Interest Form
Player Name*

First NameLast Name
Player Date of Birth*

MonthDayYear
Date
Player Gender*

FemaleMaleOther
Parent Name*

First NameLast Name
Contact Email*
example@example.com
Contact Number*
Suburb I live in*
Select age group (F) for 2025*
Select one. PLEASE NOTE: we are no longer taking expressions of interest for NPL JUNIORS GIRLS
Select age group (M) for 2025*
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
Should be Empty: