2021 Partially Sighted Futsal National Championships Expression of interest form
Please note, this is an expression of interest and doesn't guarantee you are selected for the state team that will compete at the national championships. Your state contact will be in contact with more information on selection trials, criteria, etc.
Date of birth
Parents name (if under 18 years of age)
Football Australia Number (Play Football registration number)
You will receive this after you have registered for you local ABF4ALL club/program. If you are yet to register, leave blank, and your state contact will follow up with you to ensure you are registered and eligible to be selected for the national championships.
New South Wales
The state you select above is the state where you currently live.
Should be Empty:
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