Premier Pick-Up Registration Form

Premier Pick-up Registration Form

We are launching Premium Pick-up games in 2025. For players, teams, coaches and referees. Register now >>
Player Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Country Code - Area Code- Phone Number
Date of Birth (DD/MM/YY)
Gender*

MaleFemale
Are you trying out for an invitational camp or travel team?*

YesNo
Player Level*
Select your preferred playing time(s) in Term 4 2025*

U10s - U14s Junior Development Scrimmage / Saturdays 2:00 pm - 4:00 pm @ Northholm Grammar (HILLS DISTRICT)U16s - U18s High Performance Scrimmage / Saturdays 2:00 pm - 4:00 pm @ Northholm Grammar (HILLS DISTRICT)U14s - U18s Junior Development Scrimmage / Saturdays 5:30 pm - 7:30 pm @ Oxford Falls Grammar (NORTHERN BEACHES)U14s - U18s GIRLS Scrimmage / Saturdays 6:30 pm - 7:30 pm @ Oxford Falls Grammar (NORTHERN BEACHES)U10s - U12s Junior Prep Scrimmage / Sundays 1:00 pm - 2:00 pm @ Balgowlah Boys High School (NORTHERN BEACHES)
School/Club*
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Country Code - Area Code- Phone Number
How did you hear about us?*
Did a Coach refer you? If yes, please select your Coach's name below:*
Any injuries, medical conditions, allergies, etc.
Should be Empty:

Premier Pick-up Registration Form