2022 Future Stars Application Form

Future Stars Application Form

For any athlete in any sport aged 12-16 Yrs (must be 12 or turning 12 prior to July program commencement)
Athlete Information
Athlete's Name

First Name Last Name
Birth Date

Month Day Year
Athlete Email
example@example.com
Parent Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Player Profile
What Sport/s are you involved with?
e.g. Athletics, Tennis, Cycling, Rowing etc.
Club Info

Club Name Coach
Number of years playing
Age group
Evidence of player achievements and experience: e.g. Team selections, Competition involvement/experiences, Coach reference
Option to attach player portfolio can be found at the end of the form.
Parent/Guardian Information
Name

First Name Last Name
Mobile Number
Relationship
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First Name Last Name
Relationship
Phone Number
Medical Information
Does the athlete have any current or recurring injuries, allergies, chronic illness, or medical conditions? If yes, please describe.
Uniform Size

Please select the most appropriate size as per the measurements provided below for each garment (Polo, Training T-shirt & Short). All sizes are measured in cm with the shirts measured in cm across half of the chest from armpit to armpit (widest point of chest) as per the image. The shorts are measured in cm the entire way around the waist area.

Once accepted into the program the uniform size will be confirmed and locked in. No refund or exchange will be provided if an incorrect uniform size is selected due to ordering in of uniforms.
Polo Size
Training T-shirt Size
Training Shorts Size
Thank you for applying for round 2 of the 2022 Future Stars Academy Program!
Please head to our website for program information and schedule.

For further information please contact Annaleise Stoyko, Programs Manager:
0412 756 524 or programs@goldsport.com.au
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