Needham Male and Female Trial Game Player Form

SUFFOLK MALE & FEMALE SOCCER TRIAL - OCTOBER 2024

Thursday 31st October 2024. Needham Market FC, Bloomfield, Ipswich, IP6 8DA.
Name:*

First NameLast Name
Date of Birth*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Country CodePhone Number
Parent / Guardian's Email*
example@example.com
Parent's Phone Number*

Country CodePhone Number
Please list your playing history in order with your current team first*
Do you have any medical conditions or injuries we should be aware of?*
Confirm Preferred Playing Position*

GoalkeeperRight BackLeft BackCentre BackRight MidfieldLeft MidfieldCentre MidfieldStriker
Would you like an individual player meeting following the game, where we can provide feedback on your performance and you can answer any questions you may have?*

YesNoUndecided
Any additional information you think we should know:
Should be Empty:

SUFFOLK MALE & FEMALE SOCCER TRIAL - OCTOBER 2024