2023 Northern Falcons FC Juniors Expression of Interest

Player Name*

First NameLast Name

Player Date of Birth*

DayMonthYear

Player Gender*

MaleFemale

Age Group for 2023*

Girls Mini-Roos (females 2015 or later)Under 14 Boys (Born 2009)Under 15 Boys (Born 2008)Under 9 Mixed (Born 2014)Under 10 "Wallabies" Level (Born 2013)

Parent/Guardian *

First NameLast Name

E-mail*

Confirmation Email

Contact Number*

Mobile Number

Address*

Street Address

Street Address Line 2

CityState / Province

Registered with FV in 2022*

YesNo

2022 Club Name*

Northern Falcons

Child Medical Conditions*

YesNo

Details of Condition:*

Type 'N/A' if none

Does your child identify as living with a disability*

YesNoPrefer not to answer

Do you have a friend request? (Note: This request must be reciprocated and not across different age groups. If there is a skills difference, they will be placed in the team suited to the less skilled player)*

YesNo

If 'No' in previous question, please tick 'N/A'. If 'Yes' is your friend request a priority over ability-based team selection? i.e. Would you prefer your child to be placed with a friend even if it a lower skill level than their ability?*

YesNoN/A

Name of friend*

Type 'N/A' if not applicable

As a parent, guardian or sibling 14 yrs. or older, would you be interested coaching or assisting a coach for a younger team? If you tick 'Yes' our Technical Director will be in touch*

YesNo

As a parent/guardian, are you willing to assist with any of these roles:*

Sub-Committee MemberTeam ManagerNone

Authorisation to use child's photograph (on club social media or web page)*

YesNo

I/We are the legal parents/guardians of the above mentioned child and acknowledge the above information is correct and agree it can be used on the club's website and by managers/coaches for formulation of parent contact lists etc. Team lists and match reports of you and/or your child may be published on the club website or social media sites but will not be identified by thier name. The club fosters an inclusive culture which welcomes community involvement. Whilst not mandatory, there is an expectation of all parents to assist around the club with setup of equipment at training or game day, canteen duty or other duties as required.

IMPORTANT:

Please note that your child is expected to take part in fitness and training drills that require moderate to high levels of physical exertion. Please ensure you address any issues that may prohibit your child meeting this expectation with your coaches and the club and ensure, that if required, your child both carries and is able to self administer the appropriate medications if left unattended at the club by a parent/guardian.
Please make yourself aware of the Junior Player Selection Policy which outlines how players are selected and which team they will be selected for
You will accept the selection decsions made by the club by playing in the team in which your child is placed

Do you accept these conditions?*

YesNo

EOI Reference No. (needed for deposit payment)*

Note: Please make yourself aware of the 2023 MiniRoos/Junior Player Selection Policy before submitting your EOI

Deposit Payment (except MiniRoos Kick Off):

Please note that all EOI's (except MiniRoos Kick Off), are to be accompanied by a $100 deposit which will be deducted from the registration fee balance if your child is successful in obtaining a spot in one of our teams. If your child is unsuccessful, a FULL REFUND of this deposit will be made. Please note that a refund will NOT be issued for change of mind once your child has been alloctad to team and accepted.

Deposits are to be made directly into the club account using the details below:

Account Name - Northern Falcons SC

BSB - 033157

Account - 231158

Reference - Childs Surname & EOI Reference Above

Important Note: Unless a deposit is received, the EOI will not be considered complete and your child cannot be considered for a spot in 2023.

Thanks for your understanding.

NFFC

2023 Northern Falcons FC - MiniRoos/Juniors Expression of Interest Form

Note: Please make yourself aware of the 2023 MiniRoos/Junior Player Selection Policy before submitting your EOI

Deposit Payment (except MiniRoos Kick Off):