Request to Trial for ESHFC

Club Registered: Premier League 1 and various Academy Competitions

Club Name: Eastern Suburbs Hakoah Futsal Club

Club Representative Name: Daniel Sharp

Select Age Group*

Academy Boy's U6-U10 & Girl's U7-U11Youth Boy's U11-U19 & Girl's U12-U17Open Men's 20+ Women's 17+

Players Name*

First NameLast Name

Players D.O.B*

Date Of Birth

Players Email (if appropriate)

example@example.com

Players Phone No. (if appropriate)

Players Height

cm

Position(s)

Players Current Outdoor Club

I.e. ESFA, Sydney Uni, Hakoah

Days that player's outdoor Club trains

I.e Monday Tuesday Wednesday

Is the player, the parent of the player, or either gandparent of the player Jewish?*

I.e Yes or No

Select Academy teams*

Select Youth teams*

Select Open teams*

Men's 20+Women's 20+

Possible Camp Dates*

	Available	Not Available	Unsure
Saturday 10th June
Sunday 11th June
Monday 12th June

Availabilty for Games*

	Available	Not Available	Unsure
Saturday 16th September
Saturday 23rd September
Saturday 30th September
Saturday 7th October
Saturday 14th October
Saturday 21st October
Saturday 28th October
Saturday 4th November
Saturday 11th November
Saturday 18th November
Sunday 19th November
Saturday 25th November
Saturday 2nd December
Saturday 9th December

Availabilty for Games on Sundays*

	Available	Not Available	Unsure
Sunday 17th September
Sunday 24th September
Sunday 1st October
Sunday 8th October
Sunday 15th October
Sunday 22nd October
Sunday 29th October
Sunday 5th November
Sunday 12th November
Sunday 19th November
Sunday 26th November
Sunday 3rd December
Sunday 10th December

Availabilty for Grand Final Games*

	Available	Not Available	Unsure
Saturday 16th December
Sunday 17th December

Please note that you are expected to play every game that you have nominated that you can attend. Part of the selection criteria is availability. If you nominate that you can attend a game an do not attend and we are forced to forfeit then the club will pass on the $1,000 penalty the FNSW may levy to you. So please be honest when nominating the available games.

Training is also very important., If you do not train, then do not expect to play. Obviously at the start of the year with outdoor still proceeding, lee way will be given. However once outdoor has finished you are expected to attend every training session. Leeway will also be given to illness, injury or HSC.

If you can not attend a training or a game you are expected at the begining of the week to notify your manager.

Parents Name*

First NameLast Name

Parents Email*

example@example.com

Parents Phone No.*