2023 APIA FUTSAL Trial Registration Form

APIA FUTSAL

2023

TRIAL REGISTRATION FORM

** PLEASE NOTE TRIALS HAVE NOW ENDED FOR ALL AGE GROUPS **

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UNDER 8s /9s /10s /11s /12s Marrickville PCYC Boys TRIAL ONLY!!

Become part of Australia’s most famous football club and play FUTSAL this SEPTEMBER for APIA Leichhardt FC.

The APIA Leichhardt Futsal Program was created to ensure players have the opportunity to develop and learn high level football all year round whilst being exposed to the club environment and incredible family culture at APIA.

Boys Futsal teams will participate in the Sunday Marrickville PCYC Competition from September to December in the Under 8s, 9s, 10s, 11s & Under 12s competitions.

Priority for places in our 2023 APIA Leichhardt Boys Futsal Squads will be for boys who participate in the July school holiday Trials.

Trials will be held at Concord Oval Recreation Centre (Wests Tigers Centre of Excellence) - 8 Gipps St Concord.

For more information please contact our new Futsal Technical Director Franco Bonserio on 0414 191 810
Player Name

First NameLast Name
Date of Birth

DayMonthYear
D.O.B
Age Group Registering for in 2023
2022 Futsal or Outdoor Team
Address
Parent Mobile Number 1
Parent Mobile Number 2
E-mail
I, the undersigned, approve of this application and in doing so agree that the APIA Leichhardt Tigers Junior Football Club Inc and its officers and servants are free to collect this information and clear of all responsibility whatsoever in the above mentioned activity for any loss, injury or illness during the applicant’s participation in this activity.
Signature
Should be Empty:

APIA FUTSAL

2023

TRIAL REGISTRATION FORM

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